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1669949368
MARCEL ANTON ETTESVOLD
KENNEWICK, WA
NPI
1669949368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WA CG60817318)
Enumeration Date
2018-10-31
Last Update Date
2019-08-29
Business Address
MARCEL ANTON ETTESVOLD
3321 W KENNEWICK AVE STE 150
KENNEWICK, WA 99336-2968
Phone number: 509-783-2085
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Mailing Address
MARCEL ANTON ETTESVOLD
3321 W KENNEWICK AVE STE 150
KENNEWICK, WA 99336-2968
Phone number: 509-735-6446
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