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1235702895
TARA LICONA
SEATTLE, WA
NPI
1235702895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374700000X Technician
Enumeration Date
2021-07-21
Last Update Date
2021-07-21
Business Address
TARA LICONA
8444 RAINIER AVE S
SEATTLE, WA 98118-4655
Phone number: 253-833-7444
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Mailing Address
TARA LICONA
325 W GOWE ST
KENT, WA 98032-5892
Phone number: 253-833-7444
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