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1508327974
ISMAEL CONCEPCION POO
LONGVIEW, WA
NPI
1508327974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-03-28
Last Update Date
2019-03-28
Business Address
ISMAEL CONCEPCION POO
748 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-200-5419
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Mailing Address
ISMAEL CONCEPCION POO
748 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-200-5419
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