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1275001109
MATTHEW JELLERSON
SEATTLE, WA
NPI
1275001109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WA CG60150915)
Enumeration Date
2018-11-08
Last Update Date
2018-11-08
Business Address
MATTHEW JELLERSON
851 POPLAR PL S
SEATTLE, WA 98144-2827
Phone number: 206-322-2387
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Mailing Address
MATTHEW JELLERSON
851 POPLAR PL S
SEATTLE, WA 98144-2827
Phone number: 206-322-2387
Copy
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