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1689143273
MARK EDWARD SHARP
PORT ANGELES, WA
NPI
1689143273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CP60746709)
Enumeration Date
2018-11-13
Last Update Date
2018-11-13
Business Address
MARK EDWARD SHARP CDP
825 E 5TH ST
PORT ANGELES, WA 98362-3818
Phone number: 360-797-4573
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Mailing Address
MARK EDWARD SHARP CDP
825 E 5TH ST
PORT ANGELES, WA 98362-3818
Phone number: 360-477-4795
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