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1518083922
CHARLES T BOHANNON
BELLEVUE, WA
NPI
1518083922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: WA MD00035892)
Enumeration Date
2007-03-21
Last Update Date
2021-06-10
Business Address
CHARLES T BOHANNON MD
11511 NE 10TH ST
BELLEVUE, WA 98004-8578
Phone number: 425-502-3000
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Mailing Address
CHARLES T BOHANNON MD
11511 NE 10TH ST
BELLEVUE, WA 98004-8578
Phone number: 425-502-3000
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