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1780719807
BROADWAY VISION SOURCE
SEATTLE, WA
NPI
1780719807
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Entity Type
Organization
Authorized Contact
MICHAEL MATSUNAMI
Docter
206-464-0742
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2007-02-22
Last Update Date
2020-08-22
Business Address
BROADWAY VISION SOURCE
BROADWAY VISION SOURCE 301 A EAST PIKE ST.
SEATTLE, WA 98122-3609
Phone number: 206-464-0472
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Mailing Address
BROADWAY VISION SOURCE
BROADWAY VISION SOURCE 301 A EAST PIKE ST.
SEATTLE, WA 98122
Phone number: 206-464-0472
Copy
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