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1922309046
JERRY K ENG
SHORELINE, WA
NPI
1922309046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WA 00009900)
Enumeration Date
2010-11-04
Last Update Date
2010-11-04
Business Address
Mr. JERRY K ENG
17202 15TH AVE NE
SHORELINE, WA 98155-5130
Phone number: 206-364-4618
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Mailing Address
Mr. JERRY K ENG
17202 15TH AVE NE
SHORELINE, WA 98155-5130
Phone number: 206-364-4618
Copy
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