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1619725231
STEVE ALLEN JIMENEZ
GRANDVIEW, WA
NPI
1619725231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61314552)
Enumeration Date
2024-05-08
Last Update Date
2024-05-08
Business Address
Mr. STEVE ALLEN JIMENEZ SUDPT
211 EUCLID ST
GRANDVIEW, WA 98930-1160
Phone number: 509-402-9090
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Mailing Address
Mr. STEVE ALLEN JIMENEZ SUDPT
211 EUCLID ST
GRANDVIEW, WA 98930-1160
Phone number: 509-402-9090
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