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1750101358
NICOLE FANG PO
BELLEVUE, WA
NPI
1750101358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA61592676)
Enumeration Date
2024-10-16
Last Update Date
2024-10-16
Business Address
NICOLE FANG PO PA
1600 116TH AVE NE STE 204
BELLEVUE, WA 98004-3056
Phone number: 206-395-4422
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Mailing Address
NICOLE FANG PO PA
1600 116TH AVE NE STE 204
BELLEVUE, WA 98004-3056
Phone number: 206-395-4422
Copy
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