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1477768240
HOLLY O VENUGOPAL
SEATTLE, WA
NPI
1477768240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10004134)
Enumeration Date
2007-05-14
Last Update Date
2007-10-29
Business Address
HOLLY O VENUGOPAL PA C
1959 NE PACIFIC ST
SEATTLE, WA 98195-0001
Phone number: 206-543-2470
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Mailing Address
HOLLY O VENUGOPAL PA C
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-543-6420
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