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1821423369
JAKE ALAN MARSHALL
BELLEVUE, WA
NPI
1821423369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WA A1 60327189)
Enumeration Date
2013-09-03
Last Update Date
2013-09-03
Business Address
-- JAKE ALAN MARSHALL ATC
1750 112TH AVE NE SUITE D-154
BELLEVUE, WA 98004-3752
Phone number: 661-373-7851
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Mailing Address
-- JAKE ALAN MARSHALL ATC
1750 112TH AVE NE SUITE D-154
BELLEVUE, WA 98004-3752
Phone number: 661-373-7851
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