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1487066130
NEON CORPUZ
BELLEVUE, WA
NPI
1487066130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA PA10001330)
Enumeration Date
2014-05-29
Last Update Date
2014-05-29
Business Address
-- NEON CORPUZ PA
4932 163RD PL SE
BELLEVUE, WA 98006-4733
Phone number: 206-372-2566
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Mailing Address
-- NEON CORPUZ PA
4932 163RD PL SE
BELLEVUE, WA 98006-4733
Phone number: 206-372-2566
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