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PUYALLUP, WA
NPI1255354270
Entity TypeOrganization
Authorized ContactTHERESA M TREBILCOCK
Owner
253-921-6613
Organization Subpart ?No
Primary Taxonomy2471S1302X Radiologic Technologist, Sonography
(Licence: WA  19683)
Enumeration Date2006-07-25
Last Update Date2020-08-22
Business Address
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11012 CANYON RD E STE 8
PUYALLUP, WA 98373-4200
Phone number: 253-921-6613
Mailing Address
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11012 CANYON RD E STE 8
PUYALLUP, WA 98373-4200
Phone number: 253-921-6613