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1811678519
LARRY VERN SMALLEY
EVERETT, WA
NPI
1811678519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374700000X Technician
(Licence: WA CM60901639)
Enumeration Date
2023-07-26
Last Update Date
2023-07-26
Business Address
LARRY VERN SMALLEY
4526 FEDERAL AVE
EVERETT, WA 98203-2132
Phone number: 425-349-6200
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Mailing Address
LARRY VERN SMALLEY
PO BOX 25533
FEDERAL WAY, WA 98093-2533
Phone number: 253-886-7762
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