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Individual

SYMANTHA MURRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1525 4TH AVE, SEATTLE, WA 98101
(206) 624-1370
Mailing address
4719 S 179TH ST, SEATAC, WA 98188
(206) 963-5644

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
60397005
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
203811892
TAX ID
WA
Enumeration date
08/03/2015
Last updated
08/03/2015
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