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1518524578
JEFFREY VANCE CARLISLE
CENTRALIA, WA
NPI
1518524578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG60865261)
Enumeration Date
2019-05-24
Last Update Date
2019-05-24
Business Address
JEFFREY VANCE CARLISLE AAC
3510 STEELHAMMER DR
CENTRALIA, WA 98531-4551
Phone number: 360-623-8020
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Mailing Address
JEFFREY VANCE CARLISLE AAC
3510 STEELHAMMER DR
CENTRALIA, WA 98531-4551
Phone number: 360-623-8020
Copy
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