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1861833725
MARK ANTHONY MEDINA
VANCOUVER, WA
NPI
1861833725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2013-07-08
Last Update Date
2013-07-08
Business Address
-- MARK ANTHONY MEDINA
9300 NE OAK VIEW DR STE B
VANCOUVER, WA 98662-6157
Phone number: 360-567-2211
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Mailing Address
-- MARK ANTHONY MEDINA
4105 E 16TH ST
VANCOUVER, WA 98661-6205
Phone number:
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