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1720197528
JERRY ALLEN VASQUEZ
EVERETT, WA
NPI
1720197528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA RC00050855)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
Mr. JERRY ALLEN VASQUEZ B.A.
4526 FEDERAL AVE
EVERETT, WA 98203-2132
Phone number: 425-349-8492
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Mailing Address
Mr. JERRY ALLEN VASQUEZ B.A.
5526 FIRWOOD DR
LYNNWOOD, WA 98036-6116
Phone number:
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