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1467548685
KIM JENNIFER HERZOG
EVERETT, WA
NPI
1467548685
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Former Name
KIM GERSHOWITZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10004579)
Enumeration Date
2006-10-05
Last Update Date
2009-02-24
Business Address
-- KIM JENNIFER HERZOG PAC
1001 N BROADWAY SUITE A-3
EVERETT, WA 98201-1586
Phone number: 425-317-0300
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Mailing Address
-- KIM JENNIFER HERZOG PAC
909 N BROADWAY PBO
EVERETT, WA 98201-1409
Phone number: 425-317-0699
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