KETARAE ANN KONSHUK

MOUNT VERNON, WA
NPI1992912331
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: WA  MA-19764)
Enumeration Date2007-05-16
Last Update Date2007-07-08
Business Address
KETARAE ANN KONSHUK LMP
619 W HAZEL ST
MOUNT VERNON, WA 98273-4827
Phone number: 360-610-1693
Mailing Address
KETARAE ANN KONSHUK LMP
619 WEST HAZEL
MOUNT VERNON, WA 98273
Phone number: 360-610-1693
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