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1972284644
HUSAI JAVIER MORENO
CHENEY, WA
NPI
1972284644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-07-26
Last Update Date
2023-07-26
Business Address
HUSAI JAVIER MORENO
200 PHYSICAL EDUCATION CLASSROOM
CHENEY, WA 99004
Phone number: 509-359-2427
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Mailing Address
HUSAI JAVIER MORENO
1090 W BETZ RD
CHENEY, WA 99004-8400
Phone number: 509-830-1743
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