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1699428953
YAJAIRA WALTERMIRE
WALLA WALLA, WA
NPI
1699428953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61145287)
Enumeration Date
2022-01-27
Last Update Date
2022-01-27
Business Address
YAJAIRA WALTERMIRE SUDPT
1313 N 13TH AVE
WALLA WALLA, WA 99362-8817
Phone number: 509-525-3610
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Mailing Address
YAJAIRA WALTERMIRE SUDPT
1313 N 13TH AVE
WALLA WALLA, WA 99362-8817
Phone number: 509-525-3610
Copy
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