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1720809825
MIKYLAH BAUSCH
LONGVIEW, WA
NPI
1720809825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG61605780)
Enumeration Date
2024-10-21
Last Update Date
2024-10-21
Business Address
MIKYLAH BAUSCH BA, R-AAC
1400 COMMERCE AVE
LONGVIEW, WA 98632-3756
Phone number: 360-998-2047
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Mailing Address
MIKYLAH BAUSCH BA, R-AAC
PO BOX 2394
LONGVIEW, WA 98632-8455
Phone number: 360-200-5419
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