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1417939331
JAMES ROBERT FACKELMAN
RENTON, WA
NPI
1417939331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA MD00024483)
Enumeration Date
2005-11-16
Last Update Date
2012-09-25
Business Address
Dr. JAMES ROBERT FACKELMAN MD
10555 SE CARR RD
RENTON, WA 98055-5820
Phone number: 425-656-4270
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Mailing Address
Dr. JAMES ROBERT FACKELMAN MD
PO BOX 34876
SEATTLE, WA 98124-1876
Phone number: 425-656-5412
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