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1851865711
OMAR O. CASILLAS
BURIEN, WA
NPI
1851865711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-01-14
Last Update Date
2019-01-14
Business Address
OMAR O. CASILLAS
1033 SW 152ND ST
BURIEN, WA 98166-1845
Phone number: 206-933-7113
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Mailing Address
OMAR O. CASILLAS
1033 SW 152ND ST
BURIEN, WA 98166-1845
Phone number: 206-933-7113
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