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1518473099
BRUCE WAYNE AUSTIN
EVERETT, WA
NPI
1518473099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60437219)
Enumeration Date
2017-12-20
Last Update Date
2017-12-20
Business Address
BRUCE WAYNE AUSTIN CDP
9930 EVERGREEN WAY STE Z150
EVERETT, WA 98204-3889
Phone number: 425-347-5121
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Mailing Address
BRUCE WAYNE AUSTIN CDP
9930 EVERGREEN WAY
EVERETT, WA 98204-3883
Phone number:
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