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1487331351
ELISHA M FOG
SEATTLE, WA
NPI
1487331351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WA OD61562432)
Enumeration Date
2023-06-30
Last Update Date
2024-07-06
Business Address
Dr. ELISHA M FOG OD
677 S JACKSON ST
SEATTLE, WA 98104-2928
Phone number: 206-623-1100
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Mailing Address
Dr. ELISHA M FOG OD
1907 HOYT AVE
EVERETT, WA 98201-2237
Phone number: 425-320-7515
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