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1578156022
JOAQUIN ANTOINE
PORT ORCHARD, WA
NPI
1578156022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 61036507)
Enumeration Date
2021-02-16
Last Update Date
2021-02-16
Business Address
Mr. JOAQUIN ANTOINE
2475 BETHEL RD SE
PORT ORCHARD, WA 98366-2490
Phone number: 360-876-9430
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Mailing Address
Mr. JOAQUIN ANTOINE
17219 132ND ST NW
GIG HARBOR, WA 98329-5600
Phone number: 253-858-1600
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