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1811040173
JOEL FAUSTO KLIATCHKO ESTRADA
PUYALLUP, WA
NPI
1811040173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA MD00041954)
Enumeration Date
2007-01-19
Last Update Date
2011-11-03
Business Address
JOEL FAUSTO KLIATCHKO ESTRADA MD
1701 3RD ST SE SUITE 300
PUYALLUP, WA 98372-4511
Phone number: 253-697-5767
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Mailing Address
JOEL FAUSTO KLIATCHKO ESTRADA MD
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 206-764-0112
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