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1528725777
JESSICA MARIE BAMBURG
PORT ANGELES, WA
NPI
1528725777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CO60908895)
Enumeration Date
2021-11-23
Last Update Date
2021-11-23
Business Address
JESSICA MARIE BAMBURG
716 S CHASE ST
PORT ANGELES, WA 98362-6122
Phone number: 360-395-2976
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Mailing Address
JESSICA MARIE BAMBURG
2323 E 4TH AVE
PORT ANGELES, WA 98362-9012
Phone number: 360-821-8782
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