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1457072522
PHUC NGOC NGUYEN
LAKEWOOD, WA
NPI
1457072522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61354051)
Enumeration Date
2022-09-07
Last Update Date
2022-09-07
Business Address
PHUC NGOC NGUYEN SUDPT
9100 BRIDGEPORT WAY SW
LAKEWOOD, WA 98499-2427
Phone number: 253-302-3826
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Mailing Address
PHUC NGOC NGUYEN SUDPT
3914 NE 10TH ST
RENTON, WA 98056-3585
Phone number: 206-483-9729
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