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1730654286
LARRY ROBERT LIECHTY
BURIEN, WA
NPI
1730654286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-10-11
Last Update Date
2018-10-12
Business Address
LARRY ROBERT LIECHTY
15035 8TH AVE S
BURIEN, WA 98148-1112
Phone number: 206-241-3119
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Mailing Address
LARRY ROBERT LIECHTY
2600 SW HOLDEN ST
SEATTLE, WA 98126-3505
Phone number:
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