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1205976503
DONALD ALLAN CORLISS
TUKWILA, WA
NPI
1205976503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH00009222)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
-- DONALD ALLAN CORLISS RPh
12400 E MARGINAL WAY S
TUKWILA, WA 98168-2559
Phone number: 206-901-4411
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Mailing Address
-- DONALD ALLAN CORLISS RPh
1108 E BOSTON ST
SEATTLE, WA 98102-4128
Phone number: 206-329-5996
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