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1154865525
STEFANIE BOUMA
SEATTLE, WA
NPI
1154865525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60889301)
Enumeration Date
2016-12-05
Last Update Date
2021-10-19
Business Address
STEFANIE BOUMA PA
825 EASTLAKE AVE E
SEATTLE, WA 98109-4405
Phone number: 206-520-5000
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Mailing Address
STEFANIE BOUMA PA
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-520-5700
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