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1154727501
MICHAEL JIOVANNI ELLIOTT
TACOMA, WA
NPI
1154727501
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Former Name
MICHAEL ELLIOTT
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60511930)
Enumeration Date
2014-11-12
Last Update Date
2021-03-11
Business Address
MICHAEL JIOVANNI ELLIOTT PA-C
315 MLK JR WAY
TACOMA, WA 98405
Phone number: 253-403-1050
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Mailing Address
MICHAEL JIOVANNI ELLIOTT PA-C
PO BOX 5215
TACOMA, WA 98415-0215
Phone number: 253-403-1050
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