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Individual

MR. WILLIAM BLANCHET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
12610 LAKECITY BLVD SW, LAKEWOOD, WA 98498
(253) 588-7200
(253) 588-7207
Mailing address
12610 LAKECITY BLVD SW, LAKEWOOD, WA 98498

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9052564
WA
Enumeration date
05/08/2007
Last updated
07/08/2007
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