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1124179395
DEREK A GALLICHOTTE
SEATTLE, WA
NPI
1124179395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10001366)
Enumeration Date
2007-01-15
Last Update Date
2008-06-17
Business Address
DEREK A GALLICHOTTE PAC
1100 9TH AVE
SEATTLE, WA 98101-2756
Phone number: 206-223-6600
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Mailing Address
DEREK A GALLICHOTTE PAC
1100 9TH AVE MS M4-PA
SEATTLE, WA 98101-2756
Phone number: 206-583-6025
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