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1366141335
JOHN PAUL LARSON
AUBURN, WA
NPI
1366141335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA 61355679)
Enumeration Date
2023-02-28
Last Update Date
2023-02-28
Business Address
JOHN PAUL LARSON SUDPT
921 HARVEY RD NE STE C
AUBURN, WA 98002-4294
Phone number: 253-939-2211
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Mailing Address
JOHN PAUL LARSON SUDPT
921 HARVEY RD NE STE C
AUBURN, WA 98002-4294
Phone number: 253-939-2211
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