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1104884634
ELLEN URSINO
AUBURN, WA
NPI
1104884634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: WA PA10003985)
Enumeration Date
2006-05-03
Last Update Date
2015-04-14
Business Address
ELLEN URSINO PA-C
202 N DIVISION ST
AUBURN, WA 98001-4939
Phone number: 253-833-7711
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Mailing Address
ELLEN URSINO PA-C
25506 122ND PL SE
KENT, WA 98030-5643
Phone number:
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