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1346970969
LEAH EILEEN LAFAVOR
VANCOUVER, WA
NPI
1346970969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156F00000X Technician/Technologist
Enumeration Date
2022-06-15
Last Update Date
2024-08-20
Business Address
LEAH EILEEN LAFAVOR
5501 NE 109TH CT STE N
VANCOUVER, WA 98662-6174
Phone number: 360-217-4205
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Mailing Address
LEAH EILEEN LAFAVOR
7531 NE 18TH ST APT 129Q
VANCOUVER, WA 98661-7378
Phone number:
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