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1487055059
AUDREY WICKS BRANOM
SEATTLE, WA
NPI
1487055059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA.60595391)
Enumeration Date
2014-09-14
Last Update Date
2016-02-08
Business Address
Mrs. AUDREY WICKS BRANOM PA-C
8810 2ND AVE NE
SEATTLE, WA 98115-2963
Phone number: 360-621-5562
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Mailing Address
Mrs. AUDREY WICKS BRANOM PA-C
8810 2ND AVE NE
SEATTLE, WA 98115-2963
Phone number: 360-621-5562
Copy
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