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1285861005
JORDAN ELLIOTT GENUT
BELLINGHAM, WA
NPI
1285861005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: WA MD60463058)
Enumeration Date
2009-06-19
Last Update Date
2014-07-16
Business Address
-- JORDAN ELLIOTT GENUT MD
2950 SQUALICUM PKWY SUITE B
BELLINGHAM, WA 98225-1857
Phone number: 360-788-6063
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Mailing Address
-- JORDAN ELLIOTT GENUT MD
1115 SE 164TH AVE DEPT. 358
VANCOUVER, WA 98683-9324
Phone number: 877-202-3597
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