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1144001314
RAF CORPORAL
KENT, WA
NPI
1144001314
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WA OC61297311)
Enumeration Date
2023-10-12
Last Update Date
2023-10-12
Business Address
RAF CORPORAL COTA/L
12033 SE 256TH ST
KENT, WA 98030-6643
Phone number: 253-373-7000
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Mailing Address
RAF CORPORAL COTA/L
36443 25TH AVE S
FEDERAL WAY, WA 98003-7111
Phone number:
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