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1508384371
SHANE ROBERT EGRESI
KIRKLAND, WA
NPI
1508384371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2017-08-31
Last Update Date
2017-08-31
Business Address
SHANE ROBERT EGRESI Physician Assistant
12040 NE 128TH ST
KIRKLAND, WA 98034-3013
Phone number: 330-429-2289
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Mailing Address
SHANE ROBERT EGRESI Physician Assistant
2304 MEADOW VILLAGE DR
COLUMBUS, OH 43235-4923
Phone number: 330-429-2289
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