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1184019325
EDWARD G PREVATT
MOUNT VERNON, WA
NPI
1184019325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: WA MD61223363)
Enumeration Date
2015-04-04
Last Update Date
2022-10-28
Business Address
Mr. EDWARD G PREVATT M.D.
1400 E KINCAID ST
MOUNT VERNON, WA 98274-4127
Phone number: 360-428-2586
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Mailing Address
Mr. EDWARD G PREVATT M.D.
648 NEWTON PL NW APT 2
WASHINGTON, DC 20010-1737
Phone number: 240-533-1805
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