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Individual

MR. KARL HARRY SEMBROSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1110
(253) 968-1110
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-1110

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60798354
WA
363AM0700X
Medical Physician Assistant
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2091057
WA
Enumeration date
11/18/2013
Last updated
02/09/2023
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