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1497249478
MARC ANTHONY FERNANDEZ
SHORELINE, WA
NPI
1497249478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: WA 60858908)
Enumeration Date
2018-06-21
Last Update Date
2018-06-21
Business Address
MARC ANTHONY FERNANDEZ
17018 15TH AVE NE
SHORELINE, WA 98155-5126
Phone number: 206-384-8786
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Mailing Address
MARC ANTHONY FERNANDEZ
17018 15TH AVE NE
SHORELINE, WA 98155-5126
Phone number: 206-384-8786
Copy
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