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1720043243
THOMAS MCDONOUGH
SEATTLE, WA
NPI
1720043243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WA PA10004112)
Enumeration Date
2006-04-18
Last Update Date
2011-05-12
Business Address
-- THOMAS MCDONOUGH
1660 S COLUMBIAN WAY
SEATTLE, WA 98108-1532
Phone number: 206-277-1803
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Mailing Address
-- THOMAS MCDONOUGH
4403 SW 100TH ST
SEATTLE, WA 98146-1054
Phone number:
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