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1710694450
SANTA SELENA MARTIN-BAUTISTA
SHELTON, WA
NPI
1710694450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA 61358497)
Enumeration Date
2022-11-02
Last Update Date
2022-11-02
Business Address
SANTA SELENA MARTIN-BAUTISTA SUDPT
506 W. FRANKLIN STREET
SHELTON, WA 98584-3517
Phone number: 360-427-5232
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Mailing Address
SANTA SELENA MARTIN-BAUTISTA SUDPT
PO BOX 59
CHEHALIS, WA 98532
Phone number: 360-740-4380
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