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1639731813
KODY LEE EVANS
REDMOND, WA
NPI
1639731813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-07-08
Last Update Date
2019-07-08
Business Address
Mr. KODY LEE EVANS
16225 NE 87TH ST STE A6
REDMOND, WA 98052-3536
Phone number: 425-653-4960
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Mailing Address
Mr. KODY LEE EVANS
6400 SOUTHCENTER BLVD
TUKWILA, WA 98188-2547
Phone number: 206-901-2000
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