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1447367115
BOONLERT SUREEPISARN
EVERETT, WA
NPI
1447367115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA RC00013321)
Enumeration Date
2006-08-25
Last Update Date
2007-07-08
Business Address
Mr. BOONLERT SUREEPISARN MHP
3322 BROADWAY
EVERETT, WA 98201-4425
Phone number: 425-349-8188
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Mailing Address
Mr. BOONLERT SUREEPISARN MHP
4604 101ST PL NE
MARYSVILLE, WA 98270-2361
Phone number: 360-770-9876
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