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Organization

NW SPORTS PERFORMANCE INSTITUTE PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAN ALLYSON MARQUEZ (FINANCE MANAGER)
(206) 547-2057
Entity
Organization

Contact information

Practice address
17220 127TH PL NE STE 102, WOODINVILLE, WA 98072-7965
(425) 488-3411
Mailing address
17220 127TH PL NE STE 102, WOODINVILLE, WA 98072-7965

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
04/24/2013
Last updated
04/24/2013
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