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1649291196
ALLAN J. ELLSWORTH
SEATTLE, WA
NPI
1649291196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA PA10004406)
Enumeration Date
2006-07-21
Last Update Date
2007-10-11
Business Address
-- ALLAN J. ELLSWORTH PA-C
1959 NE PACIFIC ST
SEATTLE, WA 98195-0001
Phone number: 206-598-5618
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Mailing Address
-- ALLAN J. ELLSWORTH PA-C
PO BOX 24366
SEATTLE, WA 98124-0366
Phone number: 206-598-0502
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