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1528093861
JOHN LAWRENCE HEADLEY
EDMONDS, WA
NPI
1528093861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: WA MD00018010)
Enumeration Date
2006-07-12
Last Update Date
2007-07-08
Business Address
Dr. JOHN LAWRENCE HEADLEY M.D.
21600 HIGHWAY 99 #280
EDMONDS, WA 98026-8012
Phone number: 425-774-2616
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Mailing Address
Dr. JOHN LAWRENCE HEADLEY M.D.
21600 HIGHWAY 99 #280
EDMONDS, WA 98026-8012
Phone number: 425-774-2616
Copy
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