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1174289367
BRIAN LEFAVOUR
KIRKLAND, WA
NPI
1174289367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WA 60779120)
Enumeration Date
2021-11-11
Last Update Date
2023-02-09
Business Address
BRIAN LEFAVOUR OTR/L
1002 LAKE ST S
KIRKLAND, WA 98033-6809
Phone number: 425-307-4673
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Mailing Address
BRIAN LEFAVOUR OTR/L
2929 169TH ST SE
BOTHELL, WA 98012-6632
Phone number: 425-275-8455
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