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1558576520
JAMES WINGENBACH
YAKIMA, WA
NPI
1558576520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG60137492)
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2007-05-13
Last Update Date
2011-03-17
Business Address
-- JAMES WINGENBACH
402 S 4TH AVE
YAKIMA, WA 98902-3546
Phone number: 509-575-4084
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Mailing Address
-- JAMES WINGENBACH
PO BOX 959
YAKIMA, WA 98907-0959
Phone number:
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