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Individual

LEANNE M GRAVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
11903 NE 128TH SREET, SUITE B, KIRKLAND, WA 98034
(425) 298-3363
(425) 825-1406
Mailing address
PO BOX 2454, WOODINVILLE, WA 98072
(425) 298-3363

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00011334
WA

Other

Enumeration date
12/13/2006
Last updated
04/26/2012
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