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1275808636
JEFFREY BRUCE WALL
FEDERAL WAY, WA
NPI
1275808636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WA 00010797)
Enumeration Date
2012-03-19
Last Update Date
2012-03-19
Business Address
-- JEFFREY BRUCE WALL pharmacist
33702 21ST AVE SW
FEDERAL WAY, WA 98023-7762
Phone number: 253-952-0133
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Mailing Address
-- JEFFREY BRUCE WALL pharmacist
30201 18TH AVE SW
FEDERAL WAY, WA 98023-3443
Phone number: 253-653-4624
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