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1811592348
SAMUEL DAVID NIEVES
PUYALLUP, WA
NPI
1811592348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG61127477)
Enumeration Date
2020-12-02
Last Update Date
2020-12-02
Business Address
SAMUEL DAVID NIEVES
325 E PIONEER
PUYALLUP, WA 98372-3265
Phone number: 253-697-8400
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Mailing Address
SAMUEL DAVID NIEVES
325 E PIONEER
PUYALLUP, WA 98372-3265
Phone number: 253-697-8400
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