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Individual

FOROUZAN DANESH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10200 MUKILTEO SPEEDWAY, MUKILTEO, WA 98275-4743
(425) 315-9213
(425) 315-9553
Mailing address
10200 MUKILTEO SPEEDWAY, MUKILTEO, WA 98275-4743
(425) 315-9213
(425) 315-9553

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00043370
WA

Other

Enumeration date
01/09/2012
Last updated
01/09/2012
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