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1952929259
JONATHAN COOPERSMITH
SHORELINE, WA
NPI
1952929259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: WA MC61075984)
Enumeration Date
2020-07-13
Last Update Date
2020-07-13
Business Address
JONATHAN COOPERSMITH
14803 15TH AVE NE
SHORELINE, WA 98155-7110
Phone number: 206-362-7282
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Mailing Address
JONATHAN COOPERSMITH
14803 15TH AVE NE
SHORELINE, WA 98155-7110
Phone number:
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