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1215612544
JUSTIN ALVIS
SHORELINE, WA
NPI
1215612544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA 61326791)
Enumeration Date
2023-06-15
Last Update Date
2024-07-25
Business Address
Mr. JUSTIN ALVIS CO 61326791
17018 15TH AVE NE
SHORELINE, WA 98155-5137
Phone number: 206-362-7282
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Mailing Address
Mr. JUSTIN ALVIS CO 61326791
17018 15TH AVE NE
SHORELINE, WA 98155-5126
Phone number: 909-582-6958
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