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1912558370
MARCO ANTONIO MEDINA SOTELO
SEATTLE, WA
NPI
1912558370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 00002170)
Enumeration Date
2019-09-26
Last Update Date
2019-09-26
Business Address
Mr. MARCO ANTONIO MEDINA SOTELO
113 23RD AVENUE SOUTH
SEATTLE, WA 98144
Phone number: 206-219-5980
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Mailing Address
Mr. MARCO ANTONIO MEDINA SOTELO
113 23RD AVENUE SOUTH
SEATTLE, WA 98144
Phone number: 206-219-5980
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