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1124169107
TERESE ANGELA DERZAY
SEATTLE, WA
NPI
1124169107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: WA MA14332)
Enumeration Date
2007-02-10
Last Update Date
2007-07-08
Business Address
Miss TERESE ANGELA DERZAY LMP
2715 CALIFORNIA AVE SW
SEATTLE, WA 98116-2469
Phone number: 206-852-1555
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Mailing Address
Miss TERESE ANGELA DERZAY LMP
PO BOX 16544
SEATTLE, WA 98116-0544
Phone number: 206-852-1555
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