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Individual

AI NGAU LAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1102 15TH ST SW, AUBURN, WA 98001-6524
(425) 903-2064
Mailing address
607 DEWEY AVE NW, STE 300, GRAND RAPIDS, MI 49504-7335

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160308321
WA

Other

Enumeration date
04/25/2015
Last updated
04/25/2015
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