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1649657750
ALICIA KOCH-JOHNSON
TUKWILA, WA
NPI
1649657750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
305S00000X Point of Service
(Licence: WA OC60562527)
Enumeration Date
2015-04-28
Last Update Date
2015-04-28
Business Address
-- ALICIA KOCH-JOHNSON
14826 42ND AVE S
TUKWILA, WA 98168-4436
Phone number: 206-795-8307
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Mailing Address
-- ALICIA KOCH-JOHNSON
14826 42ND AVE S
TUKWILA, WA 98168-4436
Phone number: 206-795-8307
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