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1477801124
DESLA REY MANTEUFFEL
SEATTLE, WA
NPI
1477801124
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Former Name
DESLA REY PHILLIPS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA61042077)
Enumeration Date
2012-08-28
Last Update Date
2022-12-02
Business Address
DESLA REY MANTEUFFEL PA-C
901 BOREN AVE STE 1650
SEATTLE, WA 98104-3508
Phone number: 206-215-6221
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Mailing Address
DESLA REY MANTEUFFEL PA-C
PO BOX 25608
SALT LAKE CITY, UT 84125-0608
Phone number: 206-320-4476
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