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1821435918
ANTHONY ALLEN BUSH
PORT ANGELES, WA
NPI
1821435918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP 60236082)
Enumeration Date
2013-05-29
Last Update Date
2013-05-29
Business Address
Mr. ANTHONY ALLEN BUSH CDP
933 E 1ST ST
PORT ANGELES, WA 98362-4012
Phone number: 360-452-4432
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Mailing Address
Mr. ANTHONY ALLEN BUSH CDP
933 E 1ST ST
PORT ANGELES, WA 98362-4012
Phone number: 360-452-4432
Copy
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