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1417577909
UP FAMILY MEDICINE PLLC
UNIVERSITY PLACE, WA
NPI
1417577909
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Entity Type
Organization
Authorized Contact
TAI DAVALOS
Manager
253-564-8100
Organization Subpart ?
No
Primary Taxonomy
261QH0100X Clinic/Center, Health Services
Enumeration Date
2020-04-24
Last Update Date
2020-04-24
Business Address
UP FAMILY MEDICINE PLLC
4114 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466-4315
Phone number: 253-564-8100
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Mailing Address
UP FAMILY MEDICINE PLLC
4114 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466-4315
Phone number: 253-564-8100
Copy
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