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1407005200
JEREMY DEAN PORTER
BELLINGHAM, WA
NPI
1407005200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: WA MA00013632)
Enumeration Date
2008-09-17
Last Update Date
2008-09-17
Business Address
Mr. JEREMY DEAN PORTER LMT
1486 ELECTRIC AVE SUITE #103
BELLINGHAM, WA 98229-2410
Phone number: 360-671-5644
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Mailing Address
Mr. JEREMY DEAN PORTER LMT
2810 W INDIANA ST #1
BELLINGHAM, WA 98225-1509
Phone number: 360-224-8845
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