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1982080511
ENRIQUE JUAREZ
VANCOUVER, WA
NPI
1982080511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QH0100X Clinic/Center, Health Services
(Licence: WA MA60567566)
Enumeration Date
2015-08-05
Last Update Date
2015-08-05
Business Address
Mr. ENRIQUE JUAREZ L.M.P.
6307 NE 117TH AVE STE C
VANCOUVER, WA 98662-5500
Phone number: 360-253-4285
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Mailing Address
Mr. ENRIQUE JUAREZ L.M.P.
604 SE 121ST AVE
VANCOUVER, WA 98683-6096
Phone number: 360-619-2726
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