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1134893191
LUMINOSITY MEDICAL ALLAINCE, PLLC
PORT ORCHARD, WA
NPI
1134893191
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Entity Type
Organization
Authorized Contact
AMANDA SUE MACKLIN
Founder
360-362-0146
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2021-08-03
Last Update Date
2021-08-04
Business Address
LUMINOSITY MEDICAL ALLAINCE, PLLC
426 SW HAYWORTH DR UNIT C203
PORT ORCHARD, WA 98367-5015
Phone number: 360-362-0146
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Mailing Address
LUMINOSITY MEDICAL ALLAINCE, PLLC
426 SW HAYWORTH DR UNIT C203
PORT ORCHARD, WA 98367-5015
Phone number: 419-860-3644
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