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1457044679
RUSSELL SCOTT CONTRERAS
TACOMA, WA
NPI
1457044679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2023-06-01
Last Update Date
2023-06-01
Business Address
RUSSELL SCOTT CONTRERAS
5410 N 44TH ST
TACOMA, WA 98407-3799
Phone number: 253-759-9544
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Mailing Address
RUSSELL SCOTT CONTRERAS
5410 N 44TH ST
TACOMA, WA 98407-3799
Phone number: 253-759-9544
Copy
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