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1194907337
MICHAEL J. PICCO
MOUNT VERNON, WA
NPI
1194907337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: WA OP00002317)
Enumeration Date
2007-11-29
Last Update Date
2015-08-13
Business Address
-- MICHAEL J. PICCO DO
2320 FREEWAY DRIVE
MOUNT VERNON, WA 98237
Phone number: 360-814-6800
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Mailing Address
-- MICHAEL J. PICCO DO
1400 E KINCAID ST ATTN: CREDENTIALING
MOUNT VERNON, WA 98274-4127
Phone number: 360-428-2500
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