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1124214358
MARK VANDERVORT
BELLINGHAM, WA
NPI
1124214358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA 60055369)
Enumeration Date
2007-09-21
Last Update Date
2009-10-21
Business Address
-- MARK VANDERVORT PA-C
4280 MERIDIAN ST STE 120
BELLINGHAM, WA 98226-6464
Phone number: 360-734-4300
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Mailing Address
-- MARK VANDERVORT PA-C
4280 MERIDIAN ST STE 120
BELLINGHAM, WA 98226-6464
Phone number: 360-734-4300
Copy
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