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1366597627
LARRY RAY GARDNER
BREMERTON, WA
NPI
1366597627
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA RC00028551)
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
-- LARRY RAY GARDNER BS
5455 ALMIRA DR SE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
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Mailing Address
-- LARRY RAY GARDNER BS
5455 ALMIRA DR SE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
Copy
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