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1720196264
KELLY NICOLE EVANS
SEATTLE, WA
NPI
1720196264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: WA ML20008094)
Enumeration Date
2006-08-25
Last Update Date
2010-08-17
Business Address
-- KELLY NICOLE EVANS MD
1959 NE PACIFIC ST C-212, BOX 356340
SEATTLE, WA 98195-6340
Phone number: 206-543-0065
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Mailing Address
-- KELLY NICOLE EVANS MD
4800 SAND POINT WAY NE M/S W7847, BOX 5371, CRANIOFACIAL CTR.
SEATTLE, WA 98105-3901
Phone number: 206-854-0754
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