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1407090608
RICK KEVIN PREMRO
LYNNWOOD, WA
NPI
1407090608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
247100000X Radiologic Technologist
(Licence: WA RT00005682)
Enumeration Date
2009-05-01
Last Update Date
2009-05-01
Business Address
RICK KEVIN PREMRO
6925 216TH ST SW STE P
LYNNWOOD, WA 98036-7358
Phone number: 503-657-8663
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Mailing Address
RICK KEVIN PREMRO
PO BOX 66500
PORTLAND, OR 97290-6500
Phone number: 503-657-8663
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