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1023416484
JALYCEA PEARSON
SEATTLE, WA
NPI
1023416484
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
305R00000X Preferred Provider Organization
(Licence: WA MA 60214989)
Enumeration Date
2014-12-16
Last Update Date
2014-12-16
Business Address
-- JALYCEA PEARSON
8900 12TH AVE S
SEATTLE, WA 98108-1732
Phone number: 425-451-1171
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Mailing Address
-- JALYCEA PEARSON
8900 12TH AVE S
SEATTLE, WA 98108-1732
Phone number:
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