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1396783940
EDSON GERRY PONRAJ
LAKEWOOD, WA
NPI
1396783940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: WA MD00043988)
Enumeration Date
2006-06-04
Last Update Date
2008-03-05
Business Address
-- EDSON GERRY PONRAJ MD
11315 BRIDGEPORT WAY SW
LAKEWOOD, WA 98499-3004
Phone number: 253-589-8700
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Mailing Address
-- EDSON GERRY PONRAJ MD
505 S 336TH ST SUITE 600
FEDERAL WAY, WA 98003-6328
Phone number: 253-838-6180
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