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1548402209
LOVERNE GREG DE VENECIA JIMENEZ
SEATTLE, WA
NPI
1548402209
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Other Name
GREG JIMENEZ
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WA PA60061961)
Enumeration Date
2009-03-27
Last Update Date
2024-03-08
Business Address
Mr. LOVERNE GREG DE VENECIA JIMENEZ PA-C
747 BROADWAY
SEATTLE, WA 98122-4379
Phone number: 206-861-8550
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Mailing Address
Mr. LOVERNE GREG DE VENECIA JIMENEZ PA-C
PO BOX 25608
SALT LAKE CITY, UT 84125-0608
Phone number: 206-320-4476
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