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1679972707
RUSTYMAE SQUIRES
NEWPORT, WA
NPI
1679972707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2014-08-14
Last Update Date
2014-08-14
Business Address
-- RUSTYMAE SQUIRES
105 S GARDEN AVE
NEWPORT, WA 99156-5055
Phone number: 509-447-5651
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Mailing Address
-- RUSTYMAE SQUIRES
PO BOX 21
CUSICK, WA 99119-0021
Phone number:
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