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1134308380
WILLIAM A AGAN
COVINGTON, WA
NPI
1134308380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA TA10005277)
Enumeration Date
2007-10-24
Last Update Date
2017-03-13
Business Address
-- WILLIAM A AGAN
16850 SE 272ND ST
COVINGTON, WA 98042-4931
Phone number: 253-395-1960
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Mailing Address
-- WILLIAM A AGAN
18012 W VALLEY HWY # 101
KENT, WA 98032-2924
Phone number: 425-656-5412
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