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1255841763
TRAVIS DEAN BUTSCH
MUKILTEO, WA
NPI
1255841763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2017-10-10
Last Update Date
2017-10-10
Business Address
TRAVIS DEAN BUTSCH
10710 MUKILTEO SPEEDWAY
MUKILTEO, WA 98275-5021
Phone number: 425-349-8888
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Mailing Address
TRAVIS DEAN BUTSCH
PO BOX 47877
OLYMPIA, WA 98504-7877
Phone number: 360-236-4700
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