Individual
MAGGON M COALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8862 161ST AVE #102, REDMOND, WA 98052
(425) 883-9523
Mailing address
8862 161ST AVE #102, REDMOND, WA 98052
(425) 883-9523
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA 60053701
WA
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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