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1669697223
NICHOLUS GENTRY
SELAH, WA
NPI
1669697223
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Other Name
NICK GENTRY
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-04-16
Last Update Date
2008-06-10
Business Address
-- NICHOLUS GENTRY
1790 SELAH LOOP ROAD #23
SELAH, WA 98942
Phone number: 509-452-7418
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Mailing Address
-- NICHOLUS GENTRY
1790 SELAH LOOP ROAD #23
SELAH, WA 98942
Phone number: 509-452-7418
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