LARRY GENE MALCOLM

TACOMA, WA
NPI1952525248
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA10002342)
Enumeration Date2007-04-11
Last Update Date2007-07-08
Business Address
Mr. LARRY GENE MALCOLM PA-C
9040 REID ST MCHJ-QCR
TACOMA, WA 98431-1100
Phone number: 253-968-2252
Mailing Address
Mr. LARRY GENE MALCOLM PA-C
6640 198TH AVE SW
ROCHESTER, WA 98579-9392
Phone number: 360-539-5930
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