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1356720445
COLE SOUTHWORTH
VANCOUVER, WA
NPI
1356720445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA OP60828140)
Enumeration Date
2015-05-22
Last Update Date
2018-08-06
Business Address
COLE SOUTHWORTH DO
501 SE 172ND AVE
VANCOUVER, WA 98684
Phone number: 360-882-2778
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Mailing Address
COLE SOUTHWORTH DO
700 NE 87TH AVE
VANCOUVER, WA 98664-4896
Phone number: 360-882-2778
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