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1033305826
DEO SAMSON MACABIO PEREZ
TACOMA, WA
NPI
1033305826
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WA PA10005222)
Enumeration Date
2007-09-14
Last Update Date
2014-06-27
Business Address
-- DEO SAMSON MACABIO PEREZ PAC
3124 S 19TH ST SUITE 320
TACOMA, WA 98405-2433
Phone number: 253-301-5100
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Mailing Address
-- DEO SAMSON MACABIO PEREZ PAC
3124 S 19TH ST SUITE 320
TACOMA, WA 98405-2433
Phone number: 253-301-5100
Copy
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