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1972280154
CHRISTOPHER JEREMY MAGNUSEN
SPOKANE, WA
NPI
1972280154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CP61448661)
Enumeration Date
2023-06-29
Last Update Date
2024-08-26
Business Address
CHRISTOPHER JEREMY MAGNUSEN SUDP
701 E 3RD AVE
SPOKANE, WA 99202-6014
Phone number: 509-838-6092
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Mailing Address
CHRISTOPHER JEREMY MAGNUSEN SUDP
3008 E 34TH AVE
SPOKANE, WA 99223-4621
Phone number: 509-279-5461
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