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1457032005
JONATHAN STACKHOUSE
SEATTLE, WA
NPI
1457032005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: WA AP61550697)
Enumeration Date
2023-07-27
Last Update Date
2024-07-10
Business Address
JONATHAN STACKHOUSE ARNP
4800 SAND POINT WAY NE
SEATTLE, WA 98105-3901
Phone number: 360-325-2454
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Mailing Address
JONATHAN STACKHOUSE ARNP
4800 SAND POINT WAY NE
SEATTLE, WA 98105-3901
Phone number: 360-325-2454
Copy
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