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1588689491
ANDREA M FASULLO
FEDERAL WAY, WA
NPI
1588689491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: WA MD00036355)
Enumeration Date
2006-07-12
Last Update Date
2008-04-10
Business Address
-- ANDREA M FASULLO MD
33501 1ST WAY S
FEDERAL WAY, WA 98003-6208
Phone number: 253-838-2400
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Mailing Address
-- ANDREA M FASULLO MD
1100 OLIVE WAY MSC M4-PA
SEATTLE, WA 98101-1873
Phone number:
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