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1104484278
ELLIOT SPENCER BRESHEARS
SEATTLE, WA
NPI
1104484278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-06-03
Last Update Date
2020-06-24
Business Address
ELLIOT SPENCER BRESHEARS MD
1959 NE PACIFIC ST
SEATTLE, WA 98195-2805
Phone number: 206-598-6483
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Mailing Address
ELLIOT SPENCER BRESHEARS MD
1959 NE PACIFIC STREET BOX 357115
SEATTLE, WA 98195-7115
Phone number:
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