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LAKE WILDERNESS MEDICAL CLINIC LLC
Exclusive Provider Organization
NPI: 1982879045Organization
Specialties, Licenses & Credentials
Exclusive Provider OrganizationPrimary
Exclusive Provider Organization
Code: 302F00000X
MD00023662(WA)
Contact & Hours
- Address
- 26907 MAPLE VALLEY BLACK DIAMOND RD SE
MAPLE VALLEY, WA 98038 - Phone
- (425) 432-9611
Quick Facts
- NPI
- 1982879045
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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