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MIRACLE RUTH EDISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH60920591

Contact information

Practice address
3620 FACTORIA BLVD SE, BELLEVUE, WA 98006-6128
(425) 644-7529
Mailing address
3620 FACTORIA BLVD SE, BELLEVUE, WA 98006-6128
(425) 644-7529
(425) 502-5482

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
60920591
WA

Other

Enumeration date
08/05/2019
Last updated
08/05/2019
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