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1184094138
MASON EDWARD WALLACE
FEDERAL WAY, WA
NPI
1184094138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175F00000X Naturopath
(Licence: WA NT60601241)
Enumeration Date
2015-10-02
Last Update Date
2020-12-07
Business Address
Dr. MASON EDWARD WALLACE ND
33431 13TH PL S
FEDERAL WAY, WA 98003-6357
Phone number: 253-874-7634
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Mailing Address
Dr. MASON EDWARD WALLACE ND
955 POWELL AVE SW
RENTON, WA 98057-2908
Phone number: 425-277-1311
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