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1528051893
PHIROCE ISHAQUE
LAKEWOOD, WA
NPI
1528051893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WA AP 30006491)
Enumeration Date
2005-08-23
Last Update Date
2010-03-18
Business Address
-- PHIROCE ISHAQUE ARNP
4901 108TH ST SW
LAKEWOOD, WA 98499-3724
Phone number: 253-589-6484
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Mailing Address
-- PHIROCE ISHAQUE ARNP
PO BOX 98886
LAKEWOOD, WA 98496-8886
Phone number: 253-589-6484
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