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1568505253
TOMAS M AXTELLE
BREMERTON, WA
NPI
1568505253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA RC00038765)
Enumeration Date
2007-02-14
Last Update Date
2007-07-08
Business Address
-- TOMAS M AXTELLE MA
5455 ALMIRA DR SE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
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Mailing Address
-- TOMAS M AXTELLE MA
5455 ALMIRA DR SE
BREMERTON, WA 98311-8330
Phone number: 360-373-5031
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