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1831840867
ANTONIO L HOLMES
CHEHALIS, WA
NPI
1831840867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61016936)
Enumeration Date
2022-01-11
Last Update Date
2022-01-11
Business Address
ANTONIO L HOLMES SUDPT
500 SE WASHINGTON AVE
CHEHALIS, WA 98532-3058
Phone number: 360-748-4776
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Mailing Address
ANTONIO L HOLMES SUDPT
500 SE WASHINGTON AVE
CHEHALIS, WA 98532-3058
Phone number: 360-748-4776
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