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1639616931
LANCE BUNNING
RENTON, WA
NPI
1639616931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: WA MA00005302)
Enumeration Date
2017-01-24
Last Update Date
2017-01-24
Business Address
MR. LANCE BUNNING LMT
17422 108TH AVE SE
RENTON, WA 98055-5400
Phone number: 425-255-0427
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Mailing Address
MR. LANCE BUNNING LMT
17422 108TH AVE SE
RENTON, WA 98055-5400
Phone number: 425-255-0427
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