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1144065517
JOSEPH SKUNKCAP
SEATTLE, WA
NPI
1144065517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2024-06-27
Last Update Date
2024-06-27
Business Address
JOSEPH SKUNKCAP
1600 S LANE ST
SEATTLE, WA 98144-2810
Phone number: 206-682-2371
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Mailing Address
JOSEPH SKUNKCAP
1600 S LANE ST
SEATTLE, WA 98144-2810
Phone number:
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