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1104299601
GARY DALE MONTGOMERY
EVERETT, WA
NPI
1104299601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60577634)
Enumeration Date
2015-11-05
Last Update Date
2017-10-09
Business Address
-- GARY DALE MONTGOMERY PA-C
12800 BOTHELL EVERETT HWY STE A
EVERETT, WA 98208-6642
Phone number: 425-316-5150
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Mailing Address
-- GARY DALE MONTGOMERY PA-C
PO BOX 827
BELLEVUE, WA 98009-0827
Phone number: 425-563-6258
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