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1316771397
EKATERINA ROUT
LONGVIEW, WA
NPI
1316771397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: WA MDCE.ML.61606251)
Enumeration Date
2024-08-30
Last Update Date
2024-11-27
Business Address
EKATERINA ROUT
1152 DOUGLAS ST
LONGVIEW, WA 98632-2452
Phone number: 360-940-0880
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Mailing Address
EKATERINA ROUT
43575 MISSION BLVD
FREMONT, CA 94539-5831
Phone number: 408-476-0624
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