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1518434646
TRAVIS SCOTT JEREMIAH
SEATTLE, WA
NPI
1518434646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WA 1518434646)
Enumeration Date
2018-10-26
Last Update Date
2018-11-01
Business Address
TRAVIS SCOTT JEREMIAH
2600 SW HOLDEN ST
SEATTLE, WA 98126-3505
Phone number: 206-933-7299
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Mailing Address
TRAVIS SCOTT JEREMIAH
318 S 174TH PL APT L
BURIEN, WA 98148-1672
Phone number: 206-841-8096
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