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1528793221
JOSE ALEXIS CISNEROS
KENNEWICK, WA
NPI
1528793221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-07-18
Last Update Date
2023-03-09
Business Address
JOSE ALEXIS CISNEROS
3321 W KENNEWICK AVE STE 150
KENNEWICK, WA 99336-2968
Phone number: 509-735-6446
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Mailing Address
JOSE ALEXIS CISNEROS
3321 W KENNEWICK AVE STE 150
KENNEWICK, WA 99336-2968
Phone number: 509-735-6446
Copy
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