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1417426735
LEONARD JAMES IRVING
KENT, WA
NPI
1417426735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-11-15
Last Update Date
2018-11-15
Business Address
LEONARD JAMES IRVING CDP
3407 S 253RD ST
KENT, WA 98032-9746
Phone number: 253-529-2511
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Mailing Address
LEONARD JAMES IRVING CDP
3407 S 253RD ST
KENT, WA 98032-9746
Phone number: 253-529-2511
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