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1174534820
STACEY K UM
EVERETT, WA
NPI
1174534820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE00007510)
Enumeration Date
2006-08-10
Last Update Date
2007-07-08
Business Address
-- STACEY K UM D.D.S.
910 MADISON ST
EVERETT, WA 98203-4542
Phone number: 425-355-5520
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Mailing Address
-- STACEY K UM D.D.S.
910 MADISON ST
EVERETT, WA 98203-4542
Phone number: 425-355-5520
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