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1013498344
KOOB MENG MOUA
RENTON, WA
NPI
1013498344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WA OT60855542)
Enumeration Date
2018-08-24
Last Update Date
2018-08-24
Business Address
KOOB MENG MOUA
400 S 43RD ST
RENTON, WA 98055-5714
Phone number: 425-251-5165
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Mailing Address
KOOB MENG MOUA
3600 LIND AVE SW STE 100
RENTON, WA 98057-4970
Phone number: 425-228-3440
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