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1528343340
KRISTOFER WOLCOTT
VANCOUVER, WA
NPI
1528343340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-10-12
Last Update Date
2011-10-12
Business Address
-- KRISTOFER WOLCOTT
309 W 12TH ST
VANCOUVER, WA 98660-2903
Phone number: 360-695-1325
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Mailing Address
-- KRISTOFER WOLCOTT
PO BOX 605
VANCOUVER, WA 98666-0605
Phone number: 360-695-1325
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