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1205164639
MARANATHA MEDICAL CLINIC INC P S
RENTON, WA
NPI
1205164639
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Entity Type
Organization
Authorized Contact
DAN L GRAV ES
President
425-235-9614
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA 17917)
Enumeration Date
2009-11-23
Last Update Date
2017-09-11
Business Address
MARANATHA MEDICAL CLINIC INC P S
17900 TALBOT RD S #101
RENTON, WA 98055-8212
Phone number: 425-235-9614
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Mailing Address
MARANATHA MEDICAL CLINIC INC P S
17900 TALBOT RD S #101
RENTON, WA 98055-8212
Phone number: 425-235-9614
Copy
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