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1720430929
LUCI BERG
WALLA WALLA, WA
NPI
1720430929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2016-07-12
Last Update Date
2016-07-12
Business Address
-- LUCI BERG
1520 KELLY PL STE 234
WALLA WALLA, WA 99362-8607
Phone number: 509-575-4084
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Mailing Address
-- LUCI BERG
PO BOX 959
YAKIMA, WA 98907-0959
Phone number:
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