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1992391742
TISE AFUOLA
LONGVIEW, WA
NPI
1992391742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA 60944303)
Enumeration Date
2020-12-16
Last Update Date
2020-12-16
Business Address
TISE AFUOLA AA, SUDPT
748 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-200-5419
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Mailing Address
TISE AFUOLA AA, SUDPT
PO BOX 2394
LONGVIEW, WA 98632-8455
Phone number: 360-200-5419
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