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1639543986
JOSHUA BLACK
BREMERTON, WA
NPI
1639543986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA BLACKJL150Q3)
Enumeration Date
2015-11-24
Last Update Date
2015-11-24
Business Address
-- JOSHUA BLACK
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-415-6697
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Mailing Address
-- JOSHUA BLACK
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-415-6697
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