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1013610138
ELISSA JANELLE MOODY
SEATTLE, WA
NPI
1013610138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-27
Last Update Date
2023-03-27
Business Address
ELISSA JANELLE MOODY MD
1959 NE PACIFIC ST
SEATTLE, WA 98195-0001
Phone number: 206-744-2250
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Mailing Address
ELISSA JANELLE MOODY MD
1959 NE PACIFIC ST BOX 356460
SEATTLE, WA 98195-0001
Phone number: 206-744-2250
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