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1174390876
EVAN FAIRBOURN
SEATTLE, WA
NPI
1174390876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2023-12-04
Last Update Date
2023-12-04
Business Address
EVAN FAIRBOURN
929 N 130TH ST
SEATTLE, WA 98133-7500
Phone number: 253-833-7444
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Mailing Address
EVAN FAIRBOURN
325 W GOWE ST
KENT, WA 98032-5892
Phone number: 253-833-7444
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