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1477586535
ROGER C LAFAVOR
SEATTLE, WA
NPI
1477586535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WA PA10002191)
Enumeration Date
2006-07-09
Last Update Date
2011-10-10
Business Address
Mr. ROGER C LAFAVOR PAC
601 BROADWAY
SEATTLE, WA 98122-5330
Phone number: 206-386-2600
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Mailing Address
Mr. ROGER C LAFAVOR PAC
805 MADISON ST SUITE 901
SEATTLE, WA 98104-1172
Phone number: 206-226-4810
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