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1104293471
AUTUMN TA
SEATTLE, WA
NPI
1104293471
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Former Name
NANCY TA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: WA AC60454090)
Enumeration Date
2015-08-21
Last Update Date
2015-08-21
Business Address
-- AUTUMN TA EAMP
6869 WOODLAWN AVE NE SUITE 208
SEATTLE, WA 98115-5469
Phone number: 206-535-8867
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Mailing Address
-- AUTUMN TA EAMP
637 141ST CT SE APT F106
BELLEVUE, WA 98007-6757
Phone number: 206-335-4907
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