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1427570217
JOHN WAYNE HOUSTON
RENTON, WA
NPI
1427570217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
405300000X Prevention Professional
(Licence: WA MC60318778)
Enumeration Date
2017-07-13
Last Update Date
2017-07-13
Business Address
JOHN WAYNE HOUSTON
212 WELLS AVE S STE 103
RENTON, WA 98057-2142
Phone number: 925-698-9002
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Mailing Address
JOHN WAYNE HOUSTON
339 BURNETT AVE S APT 311
RENTON, WA 98057-7510
Phone number: 925-698-9002
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