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1588775472
ELISABETH H VILLAVICENCIO
SEATTLE, WA
NPI
1588775472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080P0207X Pediatrics Pediatric Hematology-Oncology
(Licence: WA MD00044841)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
ELISABETH H VILLAVICENCIO MD
1959 NE PACIFIC ST C-212, BOX 356340
SEATTLE, WA 98195-6340
Phone number: 206-543-0065
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Mailing Address
ELISABETH H VILLAVICENCIO MD
1959 NE PACIFIC ST C-212, BOX 356340
SEATTLE, WA 98195-6340
Phone number: 206-543-0065
Copy
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