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1114622040
KANESHA OVERTON
SEATTLE, WA
NPI
1114622040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-31
Last Update Date
2023-03-31
Business Address
KANESHA OVERTON MD
1959 NE PACIFIC ST
SEATTLE, WA 98195-0001
Phone number: 202-255-8773
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Mailing Address
KANESHA OVERTON MD
1959 NE PACIFIC ST BOX 356510
SEATTLE, WA 98195-0001
Phone number: 202-255-8773
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