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1164450748
GRACE B. GAMPONIA
RENTON, WA
NPI
1164450748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: WA MD00035568)
Enumeration Date
2006-06-30
Last Update Date
2020-03-05
Business Address
GRACE B. GAMPONIA MD
4033 TALBOT RD S SUITE 570
RENTON, WA 98055-5772
Phone number: 425-656-5400
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Mailing Address
GRACE B. GAMPONIA MD
3600 LIND AVE SW SUITE 100 ATTN CREDENTIALING
RENTON, WA 98057-4970
Phone number: 425-690-2715
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