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1003898917
KEITH KIMMAN LO
TUKWILA, WA
NPI
1003898917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH00043322)
Enumeration Date
2005-11-16
Last Update Date
2007-07-08
Business Address
Mr. KEITH KIMMAN LO RPh
12844 MILITARY RD S
TUKWILA, WA 98168-3045
Phone number: 206-248-4625
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Mailing Address
Mr. KEITH KIMMAN LO RPh
2307 NE 4TH ST H301
RENTON, WA 98056-4083
Phone number: 425-687-1263
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