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1407619158
NICHOLAS FISH
LONGVIEW, WA
NPI
1407619158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WA CG61510612)
Enumeration Date
2024-02-05
Last Update Date
2024-02-05
Business Address
NICHOLAS FISH R-AAC, CPC
1131 BROADWAY ST
LONGVIEW, WA 98632-3830
Phone number: 360-998-3050
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Mailing Address
NICHOLAS FISH R-AAC, CPC
PO BOX 2394
LONGVIEW, WA 98632-8455
Phone number: 360-200-5419
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