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1821508268
IAN ANDERSON
RENTON, WA
NPI
1821508268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WA A160487117)
Enumeration Date
2017-10-11
Last Update Date
2017-10-11
Business Address
IAN ANDERSON ATC
4011 TALBOT RD S STE 300
RENTON, WA 98055-5791
Phone number: 425-656-5060
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Mailing Address
IAN ANDERSON ATC
4011 TALBOT RD S STE 300
RENTON, WA 98055-5791
Phone number:
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