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1225883986
JUSTIN ILLICK SEYFRIED
KIRKLAND, WA
NPI
1225883986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-04-17
Last Update Date
2024-04-17
Business Address
JUSTIN ILLICK SEYFRIED
11415 NE 128TH ST STE 40
KIRKLAND, WA 98034-6315
Phone number: 425-307-1815
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Mailing Address
JUSTIN ILLICK SEYFRIED
9401 244TH ST SW APT W206
EDMONDS, WA 98020-7535
Phone number: 206-390-2848
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