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1588111835
ISAAC EVERTT BLANKENSHIP
VANCOUVER, WA
NPI
1588111835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2016-09-03
Last Update Date
2019-01-17
Business Address
ISAAC EVERTT BLANKENSHIP
9300 NE OAK VIEW DR
VANCOUVER, WA 98662-6157
Phone number: 360-567-2211
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Mailing Address
ISAAC EVERTT BLANKENSHIP
9300 NE OAK VIEW DR
VANCOUVER, WA 98662-6157
Phone number: 360-567-2211
Copy
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