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1003031279
MARK THOMAS QUINTANA
SEATTLE, WA
NPI
1003031279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: WA MA00010444)
Enumeration Date
2007-04-14
Last Update Date
2007-07-08
Business Address
Mr. MARK THOMAS QUINTANA LMP
10212 5TH AVE NE SUITE #116
SEATTLE, WA 98125-7452
Phone number: 206-525-4325
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Mailing Address
Mr. MARK THOMAS QUINTANA LMP
10212 5TH AVE NE SUITE #116
SEATTLE, WA 98125-7452
Phone number: 206-525-4325
Copy
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