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1194800912
IB RASK ODDERSON
BELLEVUE, WA
NPI
1194800912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: WA MD00024439)
Enumeration Date
2006-10-27
Last Update Date
2012-09-06
Business Address
-- IB RASK ODDERSON
1035 116TH AVE NE
BELLEVUE, WA 98004-4604
Phone number: 425-688-5000
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Mailing Address
-- IB RASK ODDERSON
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-543-6420
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