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1891341756
INO PERFECTO N GONZALES
OMAK, WA
NPI
1891341756
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Other Name
INO GONZALES
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-08-15
Last Update Date
2019-08-15
Business Address
INO PERFECTO N GONZALES
1007 KOALA DR
OMAK, WA 98841-9247
Phone number: 509-826-6191
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Mailing Address
INO PERFECTO N GONZALES
1007 KOALA DR
OMAK, WA 98841-9247
Phone number: 509-826-6191
Copy
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