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1043361967
MARK A. WENTWORTH
OLYMPIA, WA
NPI
1043361967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD00042634)
Enumeration Date
2007-01-16
Last Update Date
2008-05-08
Business Address
-- MARK A. WENTWORTH M.D.
700 LILLY RD NE
OLYMPIA, WA 98506-5115
Phone number: 360-923-7000
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Mailing Address
-- MARK A. WENTWORTH M.D.
PO BOX 34584
SEATTLE, WA 98124-1584
Phone number: 509-241-7349
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