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1588709844
BENJAMIN J WIECZOREK
SEATTLE, WA
NPI
1588709844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: WA ma00020216)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
-- BENJAMIN J WIECZOREK LMP
902 NE 65TH ST
SEATTLE, WA 98115-5562
Phone number: 206-267-0863
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Mailing Address
-- BENJAMIN J WIECZOREK LMP
1120 NW 63RD ST
SEATTLE, WA 98107-2239
Phone number: 206-484-5983
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