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1720551765
BRANDON KALANI RABISA
LAKEWOOD, WA
NPI
1720551765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CG60236852)
Enumeration Date
2019-01-02
Last Update Date
2019-01-02
Business Address
BRANDON KALANI RABISA
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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Mailing Address
BRANDON KALANI RABISA
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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