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1770092801
DANIEL LEE LISTER
ABERDEEN, WA
NPI
1770092801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2017-09-20
Last Update Date
2017-09-20
Business Address
DANIEL LEE LISTER
403 W STATE ST
ABERDEEN, WA 98520-6139
Phone number: 360-612-3839
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Mailing Address
DANIEL LEE LISTER
403 W STATE ST
ABERDEEN, WA 98520-6139
Phone number: 360-612-3839
Copy
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