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1992294078
NICOLE LEE PATINA
TUMWATER, WA
NPI
1992294078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60601655)
Enumeration Date
2018-05-04
Last Update Date
2019-08-07
Business Address
Mrs. NICOLE LEE PATINA CDP
1550 IRVING ST SW
TUMWATER, WA 98512-6358
Phone number: 360-507-8030
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Mailing Address
Mrs. NICOLE LEE PATINA CDP
918 E MEAD AVE
YAKIMA, WA 98903-3720
Phone number: 509-575-8457
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