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1639926017
LEO GRUBA
TACOMA, WA
NPI
1639926017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CO61498707)
Enumeration Date
2024-05-02
Last Update Date
2024-05-02
Business Address
LEO GRUBA
510 TACOMA AVE S
TACOMA, WA 98402-5416
Phone number: 253-572-4750
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Mailing Address
LEO GRUBA
510 TACOMA AVE S
TACOMA, WA 98402-5416
Phone number:
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