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1376626556
JOY R FACKENTHALL
STANWOOD, WA
NPI
1376626556
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Former Name
JOY R GUDERIAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA 37986)
Enumeration Date
2006-10-23
Last Update Date
2012-12-11
Business Address
JOY R FACKENTHALL MD
7205 265TH ST NW
STANWOOD, WA 98292-6221
Phone number: 360-629-1504
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Mailing Address
JOY R FACKENTHALL MD
PO BOX 5127
EVERETT, WA 98206-5127
Phone number: 425-258-3900
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