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Howard Nicholas Straub

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NPI Number Detailed Information

Provider Information:

Name: Howard Nicholas Straub
Gender: M
Provider License Number If Given: OP00001843

NPI Information:

NPI: 1588663173
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 3915 TALBOT RD S STE 310
Renton, WA 98055
Phone Number: 4256565345
Fax Number: 4256565349

Provider Business Practice Location Address:

Address: 3915 TALBOT RD S STE 310
Renton, WA 98055
Phone Number: 4256565345
Fax Number: 4256565349

Provider Taxonomy:

Primary: 207W00000X
Secondary (if any):
State: WA

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