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1992110084
MAXIM
TACOMA, WA
NPI
1992110084
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Entity Type
Organization
Authorized Contact
MADISON UMPHRES
Individual Provider
520-429-5502
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2014-06-26
Last Update Date
2014-06-26
Business Address
MAXIM
4301 S PINE ST SUITE 505
TACOMA, WA 98409-7264
Phone number: 253-292-4354
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Mailing Address
MAXIM
4301 S PINE ST SUITE 505
TACOMA, WA 98409-7264
Phone number:
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