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1225701600
RYAN MATTHEW FENOLI
FEDERAL WAY, WA
NPI
1225701600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-07-30
Last Update Date
2021-07-30
Business Address
RYAN MATTHEW FENOLI
505 S 336TH ST STE 500
FEDERAL WAY, WA 98003-8300
Phone number: 657-400-5180
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Mailing Address
RYAN MATTHEW FENOLI
7718 NE 151ST LN
KENMORE, WA 98028-5600
Phone number: 425-638-9730
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