LAVONNE BRYAN

SEATTLE, WA
NPI1932467321
Former NameLAVONNE NICOLE BASKERVILLE
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WA  MC602478888)
Enumeration Date2012-04-24
Last Update Date2012-04-24
Business Address
-- LAVONNE BRYAN
10001 17TH PL S LOWER LEVEL
SEATTLE, WA 98168-1615
Phone number: 206-766-6976
Mailing Address
-- LAVONNE BRYAN
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 206-764-3335
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