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1427122050
MIKEL RAY GOMEZ
OLYMPIA, WA
NPI
1427122050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD00014506)
Enumeration Date
2006-11-17
Last Update Date
2007-07-08
Business Address
Dr. MIKEL RAY GOMEZ M.D.
405 BLACK HILLS LN SW STE F
OLYMPIA, WA 98502-8661
Phone number: 360-357-4778
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Mailing Address
Dr. MIKEL RAY GOMEZ M.D.
5438 140TH AVE SW
ROCHESTER, WA 98579-9712
Phone number: 360-754-8852
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