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1174091193
FASA FAMILY WELLNESS PLLC
LACEY, WA
NPI
1174091193
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Entity Type
Organization
Authorized Contact
DANA EBERHARD
Credentialing Specialist
360-706-2767
Organization Subpart ?
Yes
Primary Taxonomy
213E00000X Podiatrist
Enumeration Date
2018-11-07
Last Update Date
2021-05-20
Business Address
FASA FAMILY WELLNESS PLLC
5210 CORPORATE CENTER CT SE STE A
LACEY, WA 98503-5952
Phone number: 360-754-3338
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Mailing Address
FASA FAMILY WELLNESS PLLC
1610 BISHOP RD SW STE 101
TUMWATER, WA 98512-7303
Phone number: 360-754-3338
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