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1609345883
CLARENCE W KOCH
SEATTLE, WA
NPI
1609345883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WA CG60813908)
Enumeration Date
2018-11-17
Last Update Date
2018-11-17
Business Address
CLARENCE W KOCH AAC
1600 S LANE ST
SEATTLE, WA 98144-2810
Phone number: 206-682-2371
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Mailing Address
CLARENCE W KOCH AAC
1600 S LANE ST
SEATTLE, WA 98144-2810
Phone number: 206-682-2371
Copy
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