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1679061881
DEREK WESTON BURKE
LONGVIEW, WA
NPI
1679061881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA 60808342)
Enumeration Date
2018-04-24
Last Update Date
2019-02-05
Business Address
DEREK WESTON BURKE CDPT
720 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-423-0203
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Mailing Address
DEREK WESTON BURKE CDPT
921 14TH AVENUE
LONGVIEW, WA 98632
Phone number: 360-423-0203
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