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1003503020
MARK RANIER DALISAY
TACOMA, WA
NPI
1003503020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: WA 535134)
Enumeration Date
2023-04-19
Last Update Date
2023-04-19
Business Address
MARK RANIER DALISAY
7520 S I ST
TACOMA, WA 98408-4323
Phone number: 702-305-1889
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Mailing Address
MARK RANIER DALISAY
7520 S I ST
TACOMA, WA 98408-4323
Phone number: 702-305-1889
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