TAIZAK FORTNER

VANCOUVER, WA
NPI1619641644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2021-08-03
Last Update Date2021-08-03
Business Address
TAIZAK FORTNER aac
6221 NE FOURTH PLAIN BLVD APT 130
VANCOUVER, WA 98661-7210
Phone number: 360-831-0908
Mailing Address
TAIZAK FORTNER aac
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 206-764-0502
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