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1790331478
JUSTIN FANG
TACOMA, WA
NPI
1790331478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-08-17
Last Update Date
2019-08-17
Business Address
JUSTIN FANG MA
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-2820
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Mailing Address
JUSTIN FANG MA
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-2820
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