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Organization

JA MEDICAL CENTER PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANE-FRANCES IFEOMA AKPAMGBO MD (OWNER/PRESIDENT)
(509) 299-2858
Entity
Organization

Contact information

Practice address
725 NORTH STANLEY STREET, SUITE A, MEDICAL LAKE, WA 99022-8819
(509) 299-2858
(509) 299-2868
Mailing address
PO BOX 1175, MEDICAL LAKE, WA 99022-1175
(509) 299-2858
(509) 299-2868

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00042028
WA

Other

Enumeration date
06/12/2006
Last updated
08/22/2020
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