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1861467839
LISA L ILLICH
SEATTLE, WA
NPI
1861467839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: WA LD00001205)
Enumeration Date
2006-02-22
Last Update Date
2024-09-19
Business Address
LISA L ILLICH MS
1959 NE PACIFIC ST.
SEATTLE, WA 98195-0001
Phone number: 206-520-5000
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Mailing Address
LISA L ILLICH MS
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number:
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