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Individual

JI SOO WON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14442 124TH AVE NE, KIRKLAND, WA 98034-4801
(425) 821-7899
Mailing address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 297-5220

Taxonomy

Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PH60746150
WA
390200000X
Student in an Organized Health Care Education/Training Program
IR 60343030
WA

Other

Enumeration date
04/20/2013
Last updated
02/26/2019
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