BEAU FREDERICK MAR CHIBA

BELLEVUE, WA
NPI1265856041
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA  CHIBABF107QR)
Enumeration Date2014-02-13
Last Update Date2014-02-13
Business Address
-- BEAU FREDERICK MAR CHIBA
6140 156TH PL SE
BELLEVUE, WA 98006-5308
Phone number: 425-518-1945
Mailing Address
-- BEAU FREDERICK MAR CHIBA
6140 156TH PL SE
BELLEVUE, WA 98006-5308
Phone number: 425-518-1945
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