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Individual

CONNOR JADEN MCCULLUM-ZEMPEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
23028 100TH AVE W, EDMONDS, WA 98020-5080
(425) 774-4916
Mailing address
20430 33RD AVE NE, LAKE FOREST PARK, WA 98155-1543
(206) 566-2987

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary

Other

Enumeration date
10/01/2021
Last updated
10/01/2021
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