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1992534523
JAQUILINE MEDINA
CALDWELL, ID
NPI
1992534523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID COUI9732)
Enumeration Date
2024-07-31
Last Update Date
2024-07-31
Business Address
JAQUILINE MEDINA MA
1617 CLEVELAND BLVD
CALDWELL, ID 83605-5029
Phone number: 425-582-2041
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Mailing Address
JAQUILINE MEDINA MA
5108 196TH ST SW C/O RXDX MEDICAL BILLING SVC LLC, STE STE 310
LYNNWOOD, WA 98036-6152
Phone number: 425-256-7987
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