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1760614176
DYLAN L WALL
MOUNT VERNON, WA
NPI
1760614176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-08-18
Last Update Date
2009-11-20
Business Address
-- DYLAN L WALL
1101 S 2ND ST
MOUNT VERNON, WA 98273-4208
Phone number: 360-336-3762
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Mailing Address
-- DYLAN L WALL
1101 S 2ND ST
MOUNT VERNON, WA 98273-4208
Phone number:
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