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1114542412
EUGENE VINCENT DEFELICE
SEATTLE, WA
NPI
1114542412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-06-11
Last Update Date
2020-06-11
Business Address
EUGENE VINCENT DEFELICE
901 RAINIER AVE S
SEATTLE, WA 98144-2839
Phone number: 206-470-3869
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Mailing Address
EUGENE VINCENT DEFELICE
2015 2ND AVE UNIT 2010
SEATTLE, WA 98121-4022
Phone number: 347-852-0067
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