Provider First Line Business Practice Location Address:
OKUBO CLINIC
Provider Second Line Business Practice Location Address:
11582-17TH C ST.
Provider Business Practice Location Address City Name:
NORTH FORT LEWIS
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98433
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-966-7535
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/05/2006