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1982183430
SHAHRUM ALI
MUKILTEO, WA
NPI
1982183430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
Enumeration Date
2018-08-07
Last Update Date
2018-08-07
Business Address
SHAHRUM ALI
10710 MUKILTEO SPEEDWAY
MUKILTEO, WA 98275-5021
Phone number: 425-349-8888
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Mailing Address
SHAHRUM ALI
1431 195H PL SW
LYNNWOOD, WA 98036
Phone number: 425-772-2052
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