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1396101838
JON LUCKENBAUGH
VANCOUVER, WA
NPI
1396101838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG60517550)
Enumeration Date
2016-01-14
Last Update Date
2016-01-14
Business Address
-- JON LUCKENBAUGH
7415 NE 94TH AVE
VANCOUVER, WA 98662-3859
Phone number: 360-253-6019
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Mailing Address
-- JON LUCKENBAUGH
3921 E FOURTH PLAIN BLVD UNIT 12
VANCOUVER, WA 98661-5797
Phone number: 360-773-2309
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