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Individual

ANTOINETTE T WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
204 S 348TH ST, STE 3, FEDERAL WAY, WA 98003-7041
(253) 797-4567
Mailing address
36915 5TH AVE SW, FEDERAL WAY, WA 98023-7346
(253) 797-4567

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00024495
WA

Other

Enumeration date
02/06/2008
Last updated
12/05/2014
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