JOHNNY LEE LEBORD

SEATTLE, WA
NPI1659584001
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: WA  MA00015163)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
Mr. JOHNNY LEE LEBORD M.P.
9001 35TH AVE SW
SEATTLE, WA 98126-3820
Phone number: 206-755-0008
Mailing Address
Mr. JOHNNY LEE LEBORD M.P.
15539 MERIDIAN AVE N
SHORELINE, WA 98133-6038
Phone number: 206-755-0008
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