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Individual

MR. DWIGHT ALDEN WAHLBORG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
PSHCS 9600 VETERAN S DR, ATTN; (119), TACOMA, WA 98493-0001
(253) 583-2349
(253) 589-4062
Mailing address
4747 45TH AVE SW, SEATTLE, WA 98116-4403
(206) 937-2386

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PH00011230
WA

Other

Enumeration date
09/14/2006
Last updated
07/08/2007
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