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1053839829
LUCAS JASON MATHEW KAWTOSKI
FEDERAL WAY, WA
NPI
1053839829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WA AP60798106)
Enumeration Date
2017-08-31
Last Update Date
2018-12-13
Business Address
LUCAS JASON MATHEW KAWTOSKI NP
33501 1ST WAY S
FEDERAL WAY, WA 98003-6208
Phone number: 253-838-2400
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Mailing Address
LUCAS JASON MATHEW KAWTOSKI NP
10236 31ST AVE SW
SEATTLE, WA 98146-1227
Phone number: 814-934-2567
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