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1376004143
LAURIE ELIZABETH BAZAN
BURIEN, WA
NPI
1376004143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD61156181)
Enumeration Date
2019-03-26
Last Update Date
2023-11-24
Business Address
LAURIE ELIZABETH BAZAN MD
14434 AMBAUM BLVD SW STE 5
BURIEN, WA 98166-1438
Phone number: 206-812-6140
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Mailing Address
LAURIE ELIZABETH BAZAN MD
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number:
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