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1730896143
JUSTIN RAY ROBERTS
VANCOUVER, WA
NPI
1730896143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WA 175T00000x)
Enumeration Date
2022-11-04
Last Update Date
2022-11-04
Business Address
JUSTIN RAY ROBERTS
5197 NW LOWER RIVER RD BUILDING #1
VANCOUVER, WA 98660
Phone number: 360-205-1222
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Mailing Address
JUSTIN RAY ROBERTS
3703 NE 54TH ST
VANCOUVER, WA 98661-2030
Phone number: 360-409-9906
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