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1548413594
GLENN THOMAS GOLEEKE
SEATTLE, WA
NPI
1548413594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
302R00000X Health Maintenance Organization
(Licence: WA ma00011325)
Enumeration Date
2008-11-03
Last Update Date
2008-11-03
Business Address
Mr. GLENN THOMAS GOLEEKE LMP
3161 ELLIOTT AVE STE 102
SEATTLE, WA 98121-1016
Phone number: 206-282-6700
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Mailing Address
Mr. GLENN THOMAS GOLEEKE LMP
3161 ELLIOTT AVE STE 102
SEATTLE, WA 98121-1016
Phone number: 206-282-6700
Copy
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