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1376095141
CLINTON GEORGE RALPH
SPOKANE, WA
NPI
1376095141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA 00001798)
Enumeration Date
2016-10-27
Last Update Date
2016-10-27
Business Address
CLINTON GEORGE RALPH CDP
624 S COWLEY
SPOKANE, WA 99202
Phone number: 509-624-3227
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Mailing Address
CLINTON GEORGE RALPH CDP
624 S COWLEY
SPOKANE, WA 99202
Phone number: 509-624-3227
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