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1356974992
MICAH ANTHONY LEACH
PASCO, WA
NPI
1356974992
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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
2020-02-21
Last Update Date
2020-02-21
Business Address
MICAH ANTHONY LEACH
7706 TOUTLE CT
PASCO, WA 99301-6876
Phone number: 360-550-8470
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Mailing Address
MICAH ANTHONY LEACH
7706 TOUTLE CT
PASCO, WA 99301-6876
Phone number: 360-550-8470
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