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Individual

LEAH MARIE WILKINSON KEYLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC A

Contact information

Practice address
4033 TALBOT RD S STE 313, RENTON, WA 98055-5772
(425) 802-7399
Mailing address
4033 TALBOT RD S STE 313, RENTON, WA 98055-5772
(425) 802-7399

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00002460
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0213493
LABOR AND INDUSTRIES
WA
05
8316523
WA
Enumeration date
06/29/2006
Last updated
07/08/2007
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