AVALON CLINIC

LAKEWOOD, WA
NPI1265654958
Entity TypeOrganization
Authorized ContactROBERT J. KENEVAN
Medical Director
253-582-8486
Organization Subpart ?No
Primary Taxonomy261Q00000X 
(Licence: WA  MD00015225)
Enumeration Date2007-05-03
Last Update Date2012-03-23
Business Address
AVALON CLINIC
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499-2727
Phone number: 253-582-8486
Mailing Address
AVALON CLINIC
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499-2727
Phone number: 253-582-8486
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