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1205037967
LARA MICHELLE LONG
SEATTLE, WA
NPI
1205037967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: WA CH00003234)
Enumeration Date
2007-05-30
Last Update Date
2007-07-08
Business Address
Dr. LARA MICHELLE LONG D.C.
5901 ROOSEVELT WAY NE STE 101A
SEATTLE, WA 98105-2763
Phone number: 206-525-5664
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Mailing Address
Dr. LARA MICHELLE LONG D.C.
1115 N 76TH ST
SEATTLE, WA 98103-4803
Phone number: 206-579-2298
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