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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 |
