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1700946498
MARK RICHARD TIBEAU
SEATTLE, WA
NPI
1700946498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: WA AC-585)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
-- MARK RICHARD TIBEAU L.Ac
5424 BALLARD AVE NW STE 301
SEATTLE, WA 98107-4046
Phone number: 206-781-1371
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Mailing Address
-- MARK RICHARD TIBEAU L.Ac
5424 BALLARD AVE NW STE 301
SEATTLE, WA 98107-4046
Phone number: 206-781-1371
Copy
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