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1003396953
MARISOL SALAZAR
LAKEWOOD, WA
NPI
1003396953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA PA61013951)
Enumeration Date
2018-08-20
Last Update Date
2019-11-22
Business Address
MARISOL SALAZAR
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499-5036
Phone number: 253-597-4550
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Mailing Address
MARISOL SALAZAR
1148 BROADWAY STE 100
TACOMA, WA 98402-3518
Phone number: 253-597-4550
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