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Individual
MICHAEL OLIVER
Active
Individual
MICHAEL OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG 60261470
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12345
DSHS
WA
Enumeration date
06/04/2012
Last updated
06/04/2012
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