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1770015224
DOUG NISHIMURA
BOTHELL, WA
NPI
1770015224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA co60586723)
Enumeration Date
2017-04-03
Last Update Date
2017-04-03
Business Address
-- DOUG NISHIMURA CDPT
22026 20TH AVE SE STE 101
BOTHELL, WA 98021-4449
Phone number: 425-672-7293
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Mailing Address
-- DOUG NISHIMURA CDPT
22026 20TH AVE SE STE 101
BOTHELL, WA 98021-4449
Phone number:
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