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Individual

AARON K KINGSLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3850 MONTLAKE BLVD NE RM 148 B, ARENA/HEC EDMUNDSON PAVILLION, SEATTLE, WA 98195-0001
(206) 543-1552
Mailing address
3805 FREMONT AVE N APT 304, SEATTLE, WA 98103-8766

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009490
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
340420
INTERNAL ID-MOTOR VEHICLE ID
05
8441776
WA
Enumeration date
10/27/2006
Last updated
07/08/2007
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