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Organization
SOUTH AUBURN MEDICAL CLINIC INC
Active
Organization
SOUTH AUBURN MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED AFLATOONI MD (CEO PRESIDENT)
(253) 804-9190
Entity
Organization
Contact information
Practice address
3830 A ST SE STE 204, AUBURN, WA 98002-8611
(253) 804-9190
(253) 804-5797
Mailing address
3830 A ST SE STE 204, AUBURN, WA 98002-8611
(253) 804-9190
(253) 804-5797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
602338317
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4121SO
REGENCE
WA
Enumeration date
03/22/2007
Last updated
05/04/2009
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