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1467078022
ISAAC JOHN MCGAHAN
YAKIMA, WA
NPI
1467078022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 60932375)
Enumeration Date
2020-06-19
Last Update Date
2020-06-19
Business Address
ISAAC JOHN MCGAHAN SUDPT
2280 WA-821
YAKIMA, WA 98902
Phone number: 509-457-0990
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Mailing Address
ISAAC JOHN MCGAHAN SUDPT
118 N 80TH AVE
YAKIMA, WA 98908-1517
Phone number:
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