JACK PAUL TALLY

ABERDEEN, WA
NPI1790256527
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WA  CG61411928)
Enumeration Date2018-12-05
Last Update Date2023-03-07
Business Address
JACK PAUL TALLY
2700 SIMPSON AVE STE 01
ABERDEEN, WA 98520
Phone number: 360-612-0012
Mailing Address
JACK PAUL TALLY
COLUMBIA WELLNESS PO BOX 1847
LONGVIEW, WA 98632
Phone number: 360-353-9369
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