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1316486186
THEODORE CRISOSTOMO-WYNNE
SEATTLE, WA
NPI
1316486186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: WA MD61305294)
Enumeration Date
2017-02-14
Last Update Date
2023-09-28
Business Address
THEODORE CRISOSTOMO-WYNNE
1959 NE PACIFIC ST.
SEATTLE, WA 98195-0001
Phone number: 206-520-5000
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Mailing Address
THEODORE CRISOSTOMO-WYNNE
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number:
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