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1083605307
VIRGIL ERNEST KNACKSTEDT
OLYMPIA, WA
NPI
1083605307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: WA MD00019853)
Enumeration Date
2005-11-04
Last Update Date
2013-09-11
Business Address
Dr. VIRGIL ERNEST KNACKSTEDT M.D.
3417 ENSIGN RD NE
OLYMPIA, WA 98506-5064
Phone number: 360-493-4601
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Mailing Address
Dr. VIRGIL ERNEST KNACKSTEDT M.D.
3417 ENSIGN RD NE
OLYMPIA, WA 98506-5064
Phone number: 360-493-4601
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