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1114155231
ANTONIO JOSE CARRASCO
VANCOUVER, WA
NPI
1114155231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA ML60066899)
Enumeration Date
2009-06-26
Last Update Date
2018-08-02
Business Address
ANTONIO JOSE CARRASCO MD, PhD
100 E 33RD ST SUITE 100
VANCOUVER, WA 98663
Phone number: 360-514-7550
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Mailing Address
ANTONIO JOSE CARRASCO MD, PhD
1115 SE 164TH AVE DEPT 358
VANCOUVER, WA 98683-9324
Phone number: 360-514-7550
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