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1194735472
LISA NICOLE FOMENOFF
BELLEVUE, WA
NPI
1194735472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: WA CH00034259)
Enumeration Date
2006-08-09
Last Update Date
2008-01-21
Business Address
Dr. LISA NICOLE FOMENOFF D.C.
14777 NE 40TH ST SUITE 102
BELLEVUE, WA 98007-3300
Phone number: 425-883-2543
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Mailing Address
Dr. LISA NICOLE FOMENOFF D.C.
14777 NE 40TH ST SUITE 102
BELLEVUE, WA 98007-3300
Phone number: 425-883-2543
Copy
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