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1235562711
STACI H SWAN
BELLEVUE, WA
NPI
1235562711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: WA AP60408810)
Enumeration Date
2013-08-19
Last Update Date
2024-08-07
Business Address
STACI H SWAN
1600 116TH AVE NE STE 304
BELLEVUE, WA 98004-3057
Phone number: 225-715-5242
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Mailing Address
STACI H SWAN
3509 184TH PL SE
BOTHELL, WA 98012-8846
Phone number: 225-715-5242
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