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1801021472
SUSAN BANCROFT MACHUCA
BELLEVUE, WA
NPI
1801021472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: WA MA 60081937)
Enumeration Date
2009-05-26
Last Update Date
2009-05-26
Business Address
Mrs. SUSAN BANCROFT MACHUCA LMP
1220 116TH AVE NE STE 203
BELLEVUE, WA 98004-3826
Phone number: 206-436-9883
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Mailing Address
Mrs. SUSAN BANCROFT MACHUCA LMP
10935 SE 23RD ST
BELLEVUE, WA 98004-7306
Phone number: 206-436-9883
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