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1932740842
EVERGREEN FAMILY PRACTICE, PLLC
OLYMPIA, WA
NPI
1932740842
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Entity Type
Organization
Authorized Contact
MICHELLE M WARNER
Owner
360-438-3029
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2019-10-01
Last Update Date
2019-10-01
Business Address
EVERGREEN FAMILY PRACTICE, PLLC
205 LILLY RD NE STE A1
OLYMPIA, WA 98506-5069
Phone number: 360-438-3029
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Mailing Address
EVERGREEN FAMILY PRACTICE, PLLC
PO BOX 5807
LACEY, WA 98509-5807
Phone number: 360-438-3029
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