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1003950932
SUSAN E LASICKA
BELLEVUE, WA
NPI
1003950932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH00013697)
Enumeration Date
2007-02-16
Last Update Date
2007-07-08
Business Address
-- SUSAN E LASICKA
13451 SE 36TH ST
BELLEVUE, WA 98006-1475
Phone number: 425-562-1337
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Mailing Address
-- SUSAN E LASICKA
PO BOX 34584
SEATTLE, WA 98124-1584
Phone number: 509-241-7349
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