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Organization

AT FAMILY PRACTICE GROUP PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDEEP MANN (PROVIDER)
(253) 394-6574
Entity
Organization

Contact information

Practice address
24604 104TH AVE SE STE 201, KENT, WA 98030-5385
(253) 854-9799
Mailing address
24604 104TH AVE SE STE 201, KENT, WA 98030-5385

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
04/25/2023
Last updated
05/16/2023
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