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1558950923
GORDON DAVID WHISNER
VANCOUVER, WA
NPI
1558950923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2021-01-11
Last Update Date
2021-01-11
Business Address
GORDON DAVID WHISNER
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661-3713
Phone number: 360-521-8894
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Mailing Address
GORDON DAVID WHISNER
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661-3713
Phone number: 360-521-8894
Copy
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