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1134693856
KIMO MARTIN
SEATTLE, WA
NPI
1134693856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WA CG60917667)
Enumeration Date
2019-01-15
Last Update Date
2019-01-15
Business Address
KIMO MARTIN
1600 LANE ST
SEATTLE, WA 98144
Phone number: 206-682-2371
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Mailing Address
KIMO MARTIN
1600 LANE ST
SEATTLE, WA 98144
Phone number: 206-682-2371
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