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1710628904
STEPHEN LARUE ETTINGER
SEATTLE, WA
NPI
1710628904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
Mr. STEPHEN LARUE ETTINGER MD
325 9TH AVE
SEATTLE, WA 98104-2420
Phone number: 206-744-2122
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Mailing Address
Mr. STEPHEN LARUE ETTINGER MD
325 9TH AVE # 359702
SEATTLE, WA 98104-2420
Phone number:
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