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1992433643
NICHOLAS JOHN WILLIAM HEINO
BREMERTON, WA
NPI
1992433643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60822088)
Enumeration Date
2022-08-10
Last Update Date
2022-08-10
Business Address
NICHOLAS JOHN WILLIAM HEINO SUDPT
4841 AUTO CENTER WAY STE 101
BREMERTON, WA 98312-4388
Phone number: 360-373-1529
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Mailing Address
NICHOLAS JOHN WILLIAM HEINO SUDPT
4841 AUTO CENTER WAY STE 101
BREMERTON, WA 98312-4388
Phone number: 360-373-1529
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