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1588990691
JONATHAN HAL DEBOARD
TACOMA, WA
NPI
1588990691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: IL 178.004897)
Enumeration Date
2009-10-23
Last Update Date
2009-10-23
Business Address
MR. JONATHAN HAL DEBOARD
MADIGAN ARMY MEDICAL CTR 9040 REID ST., ATTN: MCHJ-QCR
TACOMA, WA 98431-1100
Phone number: 253-968-2252
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Mailing Address
MR. JONATHAN HAL DEBOARD
MADIGAN ARMY MEDICAL CTR 9040 REID ST., ATTN: MCHJ-QCR
TACOMA, WA 98431-1100
Phone number: 253-968-2252
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