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1023630803
GRANT LOVELL
EVERETT, WA
NPI
1023630803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2471R0002X Radiologic Technologist, Radiation Therapy
(Licence: WA 573270)
Enumeration Date
2020-05-14
Last Update Date
2020-05-14
Business Address
GRANT LOVELL
1717 13TH ST
EVERETT, WA 98201-1621
Phone number: 425-297-5590
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Mailing Address
GRANT LOVELL
11903 46TH DR SE
EVERETT, WA 98208-9156
Phone number:
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