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1063748861
MARANATHA MEDICAL CLINIC INC P S
RENTON, WA
NPI
1063748861
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Entity Type
Organization
Authorized Contact
DANIEL L GRAVES
President
425-235-9614
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: WA 17917)
Enumeration Date
2009-10-29
Last Update Date
2017-09-11
Business Address
MARANATHA MEDICAL CLINIC INC P S
17900 TALBOT RD S #101
RENTON, WA 98055-8212
Phone number: 425-235-9614
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Mailing Address
MARANATHA MEDICAL CLINIC INC P S
17900 TALBOT ROAD SOUTH #101
RENTON, WA 98055-8636
Phone number: 425-235-9614
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