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1225771488
SCOTT PETRUSHKA
SEATTLE, WA
NPI
1225771488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WA CG61294683)
Enumeration Date
2022-04-15
Last Update Date
2024-08-26
Business Address
SCOTT PETRUSHKA
1902 2ND AVE
SEATTLE, WA 98101-1155
Phone number: 206-999-2615
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Mailing Address
SCOTT PETRUSHKA
520 TERRY AVE UNIT 221
SEATTLE, WA 98104-2286
Phone number:
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