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1972068856
JAIME BENNETT
LONGVIEW, WA
NPI
1972068856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA 60934603)
Enumeration Date
2019-02-05
Last Update Date
2019-02-05
Business Address
JAIME BENNETT
720 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-423-0203
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Mailing Address
JAIME BENNETT
921 14TH AVE
LONGVIEW, WA 98632-2316
Phone number: 360-423-0203
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