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1700403938
STEPHEN MICHAEL PANTELEAKOS
BELLEVUE, WA
NPI
1700403938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WA A161324072)
Enumeration Date
2020-07-03
Last Update Date
2024-06-26
Business Address
STEPHEN MICHAEL PANTELEAKOS LAT, ATC
12021 NORTHUP WAY STE 102
BELLEVUE, WA 98005-1931
Phone number: 425-882-2122
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Mailing Address
STEPHEN MICHAEL PANTELEAKOS LAT, ATC
10709 VALLEY VIEW RD UNIT A206
BOTHELL, WA 98011-3083
Phone number: 206-353-0751
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