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1730894957
JAMIE IVAN PEREZ
PUYALLUP, WA
NPI
1730894957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2023-01-23
Last Update Date
2023-01-23
Business Address
JAMIE IVAN PEREZ
2923 S MERIDIAN APT M202
PUYALLUP, WA 98373-1486
Phone number: 559-907-4443
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Mailing Address
JAMIE IVAN PEREZ
2923 S MERIDIAN APT M202
PUYALLUP, WA 98373-1486
Phone number: 559-907-4443
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