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1245957018
DALLAS R COURSEY
SEATTLE, WA
NPI
1245957018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WY CO61361005)
Enumeration Date
2022-10-24
Last Update Date
2023-06-27
Business Address
DALLAS R COURSEY SUDPT
851 POPLAR PL S
SEATTLE, WA 98144-2827
Phone number: 206-322-2387
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Mailing Address
DALLAS R COURSEY SUDPT
15508 FAIR OAKS DR S
SPANAWAY, WA 98387-9051
Phone number: 307-871-9786
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