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1093924987
GERALD JAMES ROTH
SEATTLE, WA
NPI
1093924987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
282N00000X General Acute Care Hospital
(Licence: WA MD00010405)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
-- GERALD JAMES ROTH md
952 21ST AVE E
SEATTLE, WA 98112-3511
Phone number: 206-764-2475
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Mailing Address
-- GERALD JAMES ROTH md
952 21ST AVE E
SEATTLE, WA 98112-3511
Phone number: 206-324-1360
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