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1730272147
WANDA ROBERTON
FEDERAL WAY, WA
NPI
1730272147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: WA MD00018181)
Enumeration Date
2006-09-30
Last Update Date
2007-07-09
Business Address
-- WANDA ROBERTON MD
32020 1ST AVE S SUITE 115
FEDERAL WAY, WA 98003-5717
Phone number: 253-838-6556
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Mailing Address
-- WANDA ROBERTON MD
32020 1ST AVE S SUITE 115
FEDERAL WAY, WA 98003-5717
Phone number: 253-838-6556
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