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1497921217
DAVID PHILIP TOLLERUD
LAKEWOOD, WA
NPI
1497921217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA RC00047732)
Enumeration Date
2008-05-01
Last Update Date
2008-05-01
Business Address
Mr. DAVID PHILIP TOLLERUD MS
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-581-7020
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Mailing Address
Mr. DAVID PHILIP TOLLERUD MS
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-581-7020
Copy
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