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1679009732
MARK LOES
YAKIMA, WA
NPI
1679009732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP 00004276)
Enumeration Date
2017-05-11
Last Update Date
2021-01-14
Business Address
MARK LOES SUPD, MBA
2280 STATE ROUTE 821
YAKIMA, WA 98901-8302
Phone number: 509-969-0092
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Mailing Address
MARK LOES SUPD, MBA
9104 COOLIDGE RD
YAKIMA, WA 98903-6901
Phone number: 509-969-0092
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