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1497934715
IVAN ROBERT MOLTON
SEATTLE, WA
NPI
1497934715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WA PY0003856)
Enumeration Date
2007-11-02
Last Update Date
2007-11-02
Business Address
-- IVAN ROBERT MOLTON PhD
1959 NE PACIFIC ST
SEATTLE, WA 98195-0001
Phone number: 206-598-4295
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Mailing Address
-- IVAN ROBERT MOLTON PhD
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-543-6420
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