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Individual

KIAH MARIE HARVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
24837 104TH AVE SE STE 100, KENT, WA 98030-6800
(253) 854-7700
(253) 854-2986
Mailing address
24837 104TH AVE SE STE 100, KENT, WA 98030-6800
(253) 854-7700
(253) 854-2986

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60245931
WA

Other

Enumeration date
04/09/2013
Last updated
04/09/2013
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