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1386790020
ANTONIO ZAVALA SOSA
MOUNT VERNON, WA
NPI
1386790020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00004425)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
-- ANTONIO ZAVALA SOSA ATA
2500 E COLLEGE WAY SUITE 100
MOUNT VERNON, WA 98273-5862
Phone number: 360-428-8912
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Mailing Address
-- ANTONIO ZAVALA SOSA ATA
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 206-764-0112
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