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1376900282
MIRELLA APOLONIA VILLAGOMEZ
TACOMA, WA
NPI
1376900282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CP60459149)
Enumeration Date
2016-01-22
Last Update Date
2016-01-22
Business Address
MIRELLA APOLONIA VILLAGOMEZ CP60459149
5915 ORCHARD ST W BLDG. B
TACOMA, WA 98467-3824
Phone number: 253-414-7461
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Mailing Address
MIRELLA APOLONIA VILLAGOMEZ CP60459149
5915 ORCHARD ST W BLDG. B
TACOMA, WA 98467-3824
Phone number: 253-414-7461
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