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1477201390
JACEYA PROPHET
SPOKANE, WA
NPI
1477201390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG61151835)
Enumeration Date
2022-03-10
Last Update Date
2022-03-10
Business Address
JACEYA PROPHET
124 E PACIFIC AVE
SPOKANE, WA 99202-1518
Phone number: 509-838-4651
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Mailing Address
JACEYA PROPHET
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4651
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