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1609956671
PETER MARK JOHNSON
SEATTLE, WA
NPI
1609956671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10004168)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
PETER MARK JOHNSON
AMBULATORY CLINIC 825 EASTLAKE AVENUE EAST
SEATTLE, WA 98109
Phone number: 206-288-1000
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Mailing Address
PETER MARK JOHNSON
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number:
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