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1568043628
LAI MIN THEODORA FUNG
SEATTLE, WA
NPI
1568043628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-19
Last Update Date
2021-04-19
Business Address
LAI MIN THEODORA FUNG
6200 13TH AVE S
SEATTLE, WA 98108-2706
Phone number: 206-461-6943
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Mailing Address
LAI MIN THEODORA FUNG
15002 122ND PL NE
KIRKLAND, WA 98034-4545
Phone number:
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