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Organization

MARYJANE T HEALEY OD PS

Active
Other names
MARYJANE T HEALEY OD PS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARYJANE T HEALEY OD (PRESIDENT)
(425) 882-2020
Entity
Organization

Contact information

Practice address
16441 NE 74TH ST, E 150, REDMOND, WA 98052-7801
(425) 882-2020
(425) 376-2627
Mailing address
6710 124TH PL SE, SNOHOMISH, WA 98296-8649
(425) 338-9426
(425) 338-9426

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3658
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9634HE
REGENCE BLUE SHIELD
WA
Enumeration date
02/26/2007
Last updated
09/28/2010
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