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1518625045
FERNANDO OCAMPO GOMEZ
SEATTLE, WA
NPI
1518625045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA CO61217809)
Enumeration Date
2021-12-01
Last Update Date
2021-12-01
Business Address
FERNANDO OCAMPO GOMEZ SUDPT
515 3RD AVE
SEATTLE, WA 98104-2304
Phone number: 206-464-1570
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Mailing Address
FERNANDO OCAMPO GOMEZ SUDPT
7801 GREENWOOD AVE N APT 401
SEATTLE, WA 98103-4638
Phone number: 720-459-2956
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