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1700363843
JINGQIAN YUAN
PUYALLUP, WA
NPI
1700363843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE60862736)
Enumeration Date
2018-07-22
Last Update Date
2018-07-22
Business Address
JINGQIAN YUAN
8012 112TH STREET CT E STE 320
PUYALLUP, WA 98373-7856
Phone number: 248-918-9842
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Mailing Address
JINGQIAN YUAN
102 N G ST APT #225
TACOMA, WA 98403
Phone number: 248-918-9842
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