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1407414709
NICOLE RENEE JOHNSON
LONGVIEW, WA
NPI
1407414709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WA CG60971822)
Enumeration Date
2019-05-31
Last Update Date
2019-05-31
Business Address
NICOLE RENEE JOHNSON
1338 COMMERCE AVE STE 303
LONGVIEW, WA 98632-3726
Phone number: 360-261-6930
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Mailing Address
NICOLE RENEE JOHNSON
PO BOX 1447
CHEHALIS, WA 98532-0378
Phone number: 360-261-6930
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