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1992199640
MARIAM BOULOS
BELLEVUE, WA
NPI
1992199640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH60402489)
Enumeration Date
2015-03-20
Last Update Date
2015-03-20
Business Address
-- MARIAM BOULOS PH
3905 FACTORIA MALL SE
BELLEVUE, WA 98006
Phone number: 425-644-2925
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Mailing Address
-- MARIAM BOULOS PH
850A NE 123RD ST
SEATTLE, WA 98125-4830
Phone number:
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