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1003881020
JAMES POTOCSNAK
EVERETT, WA
NPI
1003881020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WA PA10001718)
Enumeration Date
2006-02-22
Last Update Date
2007-11-19
Business Address
Mr. JAMES POTOCSNAK PAC
2320 RUCKER AVE
EVERETT, WA 98201
Phone number: 425-259-5121
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Mailing Address
Mr. JAMES POTOCSNAK PAC
2320 RUCKER AVE
EVERETT, WA 98201
Phone number: 425-259-5121
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