KEITH GILMAN FONGEMIE

FEDERAL WAY, WA
NPI1629149448
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WA  PH00055424)
Enumeration Date2006-11-13
Last Update Date2014-04-30
Business Address
-- KEITH GILMAN FONGEMIE PharmD
36503 2ND AVE SW
FEDERAL WAY, WA 98023-7376
Phone number: 206-459-2019
Mailing Address
-- KEITH GILMAN FONGEMIE PharmD
36503 2ND AVE SW
FEDERAL WAY, WA 98023-7376
Phone number: 206-459-2019
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