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1447284492
EDWARD E WAKATAKE
PUYALLUP, WA
NPI
1447284492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD00039599)
Enumeration Date
2006-07-10
Last Update Date
2021-05-10
Business Address
EDWARD E WAKATAKE MD
1007 39TH AVE SE
PUYALLUP, WA 98374-2192
Phone number: 253-435-3100
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Mailing Address
EDWARD E WAKATAKE MD
1007 39TH AVE SE
PUYALLUP, WA 98374-2192
Phone number: 253-435-3100
Copy
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