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1740684422
ERIC OSCAR HAUTALA
KENT, WA
NPI
1740684422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WA OT 60501869)
Enumeration Date
2014-10-09
Last Update Date
2014-10-09
Business Address
Mr. ERIC OSCAR HAUTALA M.O.T.
25012 104TH AVE SE SUITE C
KENT, WA 98030-2821
Phone number: 253-856-3477
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Mailing Address
Mr. ERIC OSCAR HAUTALA M.O.T.
PO BOX 2170
SUMNER, WA 98390-0480
Phone number: 253-840-2313
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