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1447768338
GAVIN LEE FARRELL
BELLEVUE, WA
NPI
1447768338
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA60767902)
Enumeration Date
2018-01-13
Last Update Date
2018-01-13
Business Address
GAVIN LEE FARRELL
10575 NE 12TH ST STE 17
BELLEVUE, WA 98004-4362
Phone number: 425-296-3385
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Mailing Address
GAVIN LEE FARRELL
1106 164TH ST SE APT B302
MILL CREEK, WA 98012-1739
Phone number:
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