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1467598144
CARRIE FANG
ENUMCLAW, WA
NPI
1467598144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
204C00000X Neuromusculoskeletal Medicine, Sports Medicine
(Licence: WA AC00000097)
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
-- CARRIE FANG L.A.
1737 WELLS ST
ENUMCLAW, WA 98022-3518
Phone number: 360-825-7549
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Mailing Address
-- CARRIE FANG L.A.
1737 WELLS ST
ENUMCLAW, WA 98022-3518
Phone number: 360-825-7549
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