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1871068031
DWAYNE CORDALE EVANS
BELLEVUE, WA
NPI
1871068031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-10-03
Last Update Date
2018-10-03
Business Address
DWAYNE CORDALE EVANS CDP
999 164TH AVE NE
BELLEVUE, WA 98008-3518
Phone number: 425-747-4937
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Mailing Address
DWAYNE CORDALE EVANS CDP
999 164TH AVE NE
BELLEVUE, WA 98008-3518
Phone number: 425-747-4937
Copy
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