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Individual

JEFF LANDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3285 FERGUSON ST SW, TUMWATER, WA 98512
(360) 252-2991
Mailing address
PO BOX 14339, TUMWATER, WA 98511-4339

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CG60155753
WA

Other

Enumeration date
07/12/2019
Last updated
07/12/2019
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