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Individual

ERIC THOMAS GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCO

Contact information

Practice address
9611 MICKELBERRY RD NW, STE A, SILVERDALE, WA 98383-8300
(360) 698-2229
(360) 698-0122
Mailing address
PO BOX 1546, GRAHAM, WA 98338-1546
(360) 447-0770
(253) 875-7768

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
OI60351084
WA

Other

Enumeration date
06/24/2013
Last updated
06/24/2013
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