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Individual

MR. MARK STANLEY RUNDEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.M.P.

Contact information

Practice address
1605 12TH AVE, SUITE 30, SEATTLE, WA 98122-2467
(206) 324-5744
Mailing address
6743 5TH AVE NW, SEATTLE, WA 98117-5014
(206) 324-5744

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
MA00006014
WA

Other

Enumeration date
01/03/2007
Last updated
07/08/2007
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