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1457818239
NICOLE AUTUMN PINE
SEATTLE, WA
NPI
1457818239
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Former Name
NICOLE AUTUMN BRIMHALL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60993143)
Enumeration Date
2019-02-27
Last Update Date
2024-04-17
Business Address
Ms. NICOLE AUTUMN PINE PA-C
825 EASTLAKE AVE E
SEATTLE, WA 98109-4405
Phone number: 206-520-5000
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Mailing Address
Ms. NICOLE AUTUMN PINE PA-C
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-520-5700
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