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1487043220
JERRY A WILKS
YAKIMA, WA
NPI
1487043220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-01-16
Last Update Date
2023-05-23
Business Address
JERRY A WILKS CP00002830
120 SOUTH 3RD STREET
YAKIMA, WA 98901
Phone number: 509-248-1800
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Mailing Address
JERRY A WILKS CP00002830
P.O. BOX 2849
YAKIMA, WA 98907
Phone number:
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