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1063442440
TIMOTHY JOHN COGLON
SEATTLE, WA
NPI
1063442440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10000065)
Enumeration Date
2006-07-03
Last Update Date
2009-03-24
Business Address
-- TIMOTHY JOHN COGLON P.A.C.
4245 ROOSEVELT WAY NE
SEATTLE, WA 98105-6008
Phone number: 206-543-6420
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Mailing Address
-- TIMOTHY JOHN COGLON P.A.C.
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-543-6420
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