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1053142778
EPIPHANY DERMATOLOGY OF WASHINGTON PLLC
MERCER ISLAND, WA
NPI
1053142778
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Entity Type
Organization
Authorized Contact
GHEORGHE PUSTA
Executive Director
512-628-0465
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2024-08-13
Last Update Date
2024-08-13
Business Address
EPIPHANY DERMATOLOGY OF WASHINGTON PLLC
7707 SE 27TH ST STE 104
MERCER ISLAND, WA 98040-2844
Phone number: 512-628-0465
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Mailing Address
EPIPHANY DERMATOLOGY OF WASHINGTON PLLC
7300 RANCH ROAD 2222, BLDG 1, STE 200
AUSTIN, TX 78730-3255
Phone number: 512-628-0465
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