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1871760074
JOSE A VILLALBA
YAKIMA, WA
NPI
1871760074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-05-15
Last Update Date
2008-05-15
Business Address
-- JOSE A VILLALBA
402 S 4TH AVE
YAKIMA, WA 98902-3546
Phone number: 509-248-1200
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Mailing Address
-- JOSE A VILLALBA
PO BOX 959
YAKIMA, WA 98907-0959
Phone number: 509-575-4084
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