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1174171458
NORTHWEST KETAMINE CLINICS PLLC
SEATTLE, WA
NPI
1174171458
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Entity Type
Organization
Authorized Contact
ALLYN WILCOCK
Owner
206-330-6722
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2019-08-29
Last Update Date
2019-08-29
Business Address
NORTHWEST KETAMINE CLINICS PLLC
901 BOREN AVE STE 1730
SEATTLE, WA 98104-3549
Phone number: 206-309-2299
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Mailing Address
NORTHWEST KETAMINE CLINICS PLLC
35302 SE CENTER ST
SNOQUALMIE, WA 98065-9216
Phone number: 206-309-2299
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