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1780003616
RUISDAEL VALLEJO PACHECO
PUYALLUP, WA
NPI
1780003616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC60328746)
Enumeration Date
2014-04-08
Last Update Date
2014-04-08
Business Address
-- RUISDAEL VALLEJO PACHECO
12812 101ST AVENUE CT E SUITE 202
PUYALLUP, WA 98373-9101
Phone number: 253-864-4770
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Mailing Address
-- RUISDAEL VALLEJO PACHECO
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 206-764-3335
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