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1467857532
KC GRAHAM
SHELTON, WA
NPI
1467857532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60509798)
Enumeration Date
2014-10-30
Last Update Date
2014-10-30
Business Address
-- KC GRAHAM PA-C
237 PROFESSIONAL WAY
SHELTON, WA 98584-4404
Phone number: 360-426-2500
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Mailing Address
-- KC GRAHAM PA-C
237 PROFESSIONAL WAY
SHELTON, WA 98584-4404
Phone number: 360-426-2500
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