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Organization
CLERESTORIE LLC
Active
Organization
CLERESTORIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY DAMERON (BOSS)
(360) 260-9002
Entity
Organization
Contact information
Practice address
1821 SE SOLOMON LOOP, VANCOUVER, WA 98683-4631
(360) 260-9002
Mailing address
1821 SE SOLOMON LOOP, VANCOUVER, WA 98683-4631
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
427401
WA
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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