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1114901113
RUSSELL WILLIAM FARIA
AUBURN, WA
NPI
1114901113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA OP00001307)
Enumeration Date
2005-12-02
Last Update Date
2013-11-09
Business Address
Dr. RUSSELL WILLIAM FARIA D.O.
721 M ST NE STE 100
AUBURN, WA 98002-4503
Phone number: 253-735-0260
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Mailing Address
Dr. RUSSELL WILLIAM FARIA D.O.
721 M ST NE STE 100
AUBURN, WA 98002-4503
Phone number: 253-735-0260
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