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1104124247
BELLEVUE OBGYN LLC
BELLEVUE, WA
NPI
1104124247
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Entity Type
Organization
Authorized Contact
MARK S FAN
Member
425-698-1588
Organization Subpart ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: WA MD60122545)
Enumeration Date
2011-03-13
Last Update Date
2012-08-10
Business Address
BELLEVUE OBGYN LLC
1515 116TH AVE NE 205
BELLEVUE, WA 98004-3811
Phone number: 425-698-1588
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Mailing Address
BELLEVUE OBGYN LLC
1515 116TH AVE NE SUITE 205
BELLEVUE, WA 98004-3811
Phone number: 425-698-1588
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