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1679262984
JONATHAN PHU-TRUNG NGUYEN
LAKEWOOD, WA
NPI
1679262984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 101Y99995L)
Enumeration Date
2023-05-02
Last Update Date
2023-05-02
Business Address
JONATHAN PHU-TRUNG NGUYEN Rev.
9100 BRIDGEPORT WAY SW
LAKEWOOD, WA 98499-2427
Phone number: 253-302-3826
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Mailing Address
JONATHAN PHU-TRUNG NGUYEN Rev.
7801 59TH AVE W
LAKEWOOD, WA 98499-8571
Phone number: 253-228-5317
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