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1861199895
JOSE MENDOZA-TOVAR
KENNEWICK, WA
NPI
1861199895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2023-02-09
Last Update Date
2023-02-09
Business Address
JOSE MENDOZA-TOVAR
10505 W CLEARWATER AVE
KENNEWICK, WA 99336-8613
Phone number: 509-378-5553
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Mailing Address
JOSE MENDOZA-TOVAR
10505 W CLEARWATER AVE
KENNEWICK, WA 99336-8613
Phone number: 509-378-5553
Copy
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