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1891438248
MIKIAS HABTESELASSIE ALENE
EVERETT, WA
NPI
1891438248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: P160794701)
Enumeration Date
2022-04-14
Last Update Date
2022-04-14
Business Address
MIKIAS HABTESELASSIE ALENE
1919 112TH ST SW
EVERETT, WA 98204-3784
Phone number: 425-513-1600
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Mailing Address
MIKIAS HABTESELASSIE ALENE
600 N 85TH ST UNIT 206
SEATTLE, WA 98103-3868
Phone number:
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