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1356922215
KELLY LAIRD
SEATTLE, WA
NPI
1356922215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-20
Last Update Date
2021-04-20
Business Address
KELLY LAIRD
1959 NE PACIFIC ST
SEATTLE, WA 98195-0001
Phone number: 206-446-7553
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Mailing Address
KELLY LAIRD
1959 NE PACIFIC ST
SEATTLE, WA 98195-0001
Phone number:
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