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1063584902
CHARLES LEONARD PIETERICK
SEATTLE, WA
NPI
1063584902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WA AP30001503)
Enumeration Date
2006-11-15
Last Update Date
2007-07-09
Business Address
-- CHARLES LEONARD PIETERICK ARNP
825 EASTLAKE AVE E
SEATTLE, WA 98109-4405
Phone number: 206-667-6936
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Mailing Address
-- CHARLES LEONARD PIETERICK ARNP
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-543-6420
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