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1831926179
JONATHAN ROBERT NICKELL
CLARKSTON, WA
NPI
1831926179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-09-19
Last Update Date
2024-09-19
Business Address
JONATHAN ROBERT NICKELL
900 7TH ST
CLARKSTON, WA 99403-2005
Phone number: 509-758-3341
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Mailing Address
JONATHAN ROBERT NICKELL
900 7TH ST
CLARKSTON, WA 99403-2005
Phone number: 509-758-3341
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