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1457359507
SAM CHILD EGGERTSEN
KENMORE, WA
NPI
1457359507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD00016014)
Enumeration Date
2005-07-12
Last Update Date
2007-07-08
Business Address
-- SAM CHILD EGGERTSEN MD
6016 NE BOTHELL WAY STE G
KENMORE, WA 98028-9403
Phone number: 425-486-0658
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Mailing Address
-- SAM CHILD EGGERTSEN MD
403 E MEEKER ST STE 300
KENT, WA 98030-5904
Phone number:
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