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1477095040
JUSTIN FERNANDO
BELLEVUE, WA
NPI
1477095040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA 60596660)
Enumeration Date
2016-11-13
Last Update Date
2016-11-13
Business Address
-- JUSTIN FERNANDO
15100 SE 38TH ST
BELLEVUE, WA 98006-1728
Phone number: 425-746-4028
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Mailing Address
-- JUSTIN FERNANDO
15100 SE 38TH ST
BELLEVUE, WA 98006-1728
Phone number: 425-746-4028
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