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23601 Highway 99 Ste A Edmonds WA 98026-9212 | |
(206) 714-4476 | |
(425) 732-4476 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 23601 Highway 99 Ste A, Edmonds, Washington |
Authorized Official Name and Position | Deonne Jeanette Benedict (MANAGING MEMBER, LLC) |
Authorized Official Contact | 2067144476 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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23601 Highway 99 Ste A Edmonds WA 98026-9212 Ph: (206) 714-4476 | 23601 Highway 99 Ste A Edmonds WA 98026-9212 Ph: (206) 714-4476 |
NPI Number | 1194069187 |
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Provider Enumeration Date | 11/15/2012 |
Last Update Date | 11/16/2012 |
Identifier | Type | State | Issuer |
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1194069187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 602904773 (Washington) | Primary |
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Spero Consulting Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 James St, Suite 104, Edmonds, WA 98020 Phone: 425-412-8133 Fax: 425-412-8136 | |
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