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1801454871
DAKITA MACK
BELLEVUE, WA
NPI
1801454871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: MI 5151013499)
Enumeration Date
2019-06-04
Last Update Date
2024-06-26
Business Address
DAKITA MACK DO
626 120TH AVE NE STE B201
BELLEVUE, WA 98005-3038
Phone number: 425-453-9060
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Mailing Address
DAKITA MACK DO
6341 DESHONG DR
LITHONIA, GA 30058-6117
Phone number:
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