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1023638400
IAIN MISTROT
SEATTLE, WA
NPI
1023638400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: WA A160694547)
Enumeration Date
2020-04-25
Last Update Date
2020-04-25
Business Address
IAIN MISTROT
UNIVERSITY OF WASHINGTON 354070 GRAVES BUILDING
SEATTLE, WA 98195-0001
Phone number: 206-616-0156
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Mailing Address
IAIN MISTROT
20320 124TH AVE NE
BOTHELL, WA 98011-7658
Phone number:
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