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1578764387
JONATHAN ROBERT WALL
BELLEVUE, WA
NPI
1578764387
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Other Name
JON ROBERT WALL
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: WA MA00015057)
Enumeration Date
2007-05-30
Last Update Date
2007-07-08
Business Address
-- JONATHAN ROBERT WALL
12811 SE 38TH ST
BELLEVUE, WA 98006-1326
Phone number: 425-378-1800
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Mailing Address
-- JONATHAN ROBERT WALL
2940 S FRONTENAC ST
SEATTLE, WA 98108-3790
Phone number: 206-723-1381
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