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1992007637
TIFFANY KOSTELYK
EVERETT, WA
NPI
1992007637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WA CG60198197)
Enumeration Date
2010-12-01
Last Update Date
2010-12-01
Business Address
-- TIFFANY KOSTELYK
8223 BROADWAY
EVERETT, WA 98203-6853
Phone number: 425-355-8668
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Mailing Address
-- TIFFANY KOSTELYK
8223 BROADWAY
EVERETT, WA 98203-6853
Phone number: 425-355-8668
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