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528 Myrtle Street Laconner WA 98257 | |
(360) 466-3136 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 528 Myrtle Street, Laconner, Washington |
Authorized Official Name and Position | George Go (BOARD PRESIDENT) |
Authorized Official Contact | 4252590966 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 5127 Everett WA 98206-5127 Ph: (360) 466-3136 | 528 Myrtle Street Laconner WA 98257 Ph: (360) 466-3136 |
NPI Number | 1255950572 |
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Provider Enumeration Date | 04/16/2020 |
Last Update Date | 04/09/2024 |
Identifier | Type | State | Issuer |
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1255950572 | NPI | - | NPPES |