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1770526626
MITCHELL JAY PETERSON
SEATTLE, WA
NPI
1770526626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD00031099)
Enumeration Date
2006-06-14
Last Update Date
2008-03-24
Business Address
-- MITCHELL JAY PETERSON M.D.
11011 MERIDIAN AVE N SUITE 200
SEATTLE, WA 98133-8967
Phone number: 206-525-5777
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Mailing Address
-- MITCHELL JAY PETERSON M.D.
1145 BROADWAY
SEATTLE, WA 98122-4201
Phone number: 206-329-1760
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