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1508454661
MADISON GREEN
PUYALLUP, WA
NPI
1508454661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA61222553)
Enumeration Date
2021-01-05
Last Update Date
2021-10-28
Business Address
MADISON GREEN PA-C
1519 3RD ST SE
PUYALLUP, WA 98372-3742
Phone number: 253-841-8939
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Mailing Address
MADISON GREEN PA-C
5141 N 30TH ST
TACOMA, WA 98407-3305
Phone number: 360-689-2262
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