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1265524912
BLYNN L SHIDELER
MONTEREY, CA
NPI
1265524912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: CA G23099)
Additional Taxonomies
208600000X Surgery
(Licence: WA MD00045810)
Enumeration Date
2006-09-29
Last Update Date
2007-07-08
Business Address
-- BLYNN L SHIDELER M.D., P.C.
576 HARTNELL ST SUITE 200
MONTEREY, CA 93940-2833
Phone number: 425-996-1001
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Mailing Address
-- BLYNN L SHIDELER M.D., P.C.
1420 NW GILMAN BLVD SUITE 2-2786
ISSAQUAH, WA 98027-5394
Phone number: 425-996-1001
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