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1033801147
STEPHEN LEO ROELOF JOZEF ISHAM
SEATTLE, WA
NPI
1033801147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: WA PL61571387)
Enumeration Date
2023-05-25
Last Update Date
2024-07-07
Business Address
STEPHEN LEO ROELOF JOZEF ISHAM DPM
1660 S COLUMBIAN WAY
SEATTLE, WA 98108-1532
Phone number: 800-329-8387
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Mailing Address
STEPHEN LEO ROELOF JOZEF ISHAM DPM
7352 S GREENSFERRY RD
COEUR D ALENE, ID 83814-7165
Phone number: 208-819-3441
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