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1730127804
JOHN VANBODEGOM
BURIEN, WA
NPI
1730127804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA MD00012580)
Enumeration Date
2006-06-02
Last Update Date
2007-07-08
Business Address
-- JOHN VANBODEGOM MD
16110 8TH AVE SW SUITE A2
BURIEN, WA 98166-2962
Phone number: 206-242-8280
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Mailing Address
-- JOHN VANBODEGOM MD
PO BOX 34936 DEPT # 5006
SEATTLE, WA 98124-1936
Phone number: 206-439-2988
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