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1982170122
JARED SCOTT DETROLIO
MOSES LAKE, WA
NPI
1982170122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG60867653)
Enumeration Date
2018-10-15
Last Update Date
2018-10-15
Business Address
JARED SCOTT DETROLIO
840 E PLUM ST
MOSES LAKE, WA 98837-1874
Phone number: 509-765-9239
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Mailing Address
JARED SCOTT DETROLIO
840 E PLUM ST
MOSES LAKE, WA 98837-1874
Phone number: 509-765-9239
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