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1992944243
KELLIE BIANCA LEE
SEATTLE, WA
NPI
1992944243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: WA MA 60060129)
Enumeration Date
2009-02-10
Last Update Date
2009-05-20
Business Address
-- KELLIE BIANCA LEE LMP
1421 WESTERN AVE
SEATTLE, WA 98101-2021
Phone number: 206-624-3590
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Mailing Address
-- KELLIE BIANCA LEE LMP
1421 WESTERN AVE
SEATTLE, WA 98101-2021
Phone number: 206-624-3590
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