ERIC DALE MAGNUSON

SEATTLE, WA
NPI1225655251
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA  CO60899549)
Enumeration Date2020-06-25
Last Update Date2020-06-25
Business Address
ERIC DALE MAGNUSON SIDPT
1305 SENECA ST
SEATTLE, WA 98101-2828
Phone number: 206-323-0934
Mailing Address
ERIC DALE MAGNUSON SIDPT
4415 HOYT AVE APT 1
EVERETT, WA 98203-2348
Phone number: 425-268-6212
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