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1821037243
THEODORE R MANULLANG
BELLEVUE, WA
NPI
1821037243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: WA MD00037431)
Enumeration Date
2006-06-05
Last Update Date
2007-11-09
Business Address
Mr. THEODORE R MANULLANG MD
1035 116TH AVE NE
BELLEVUE, WA 98004-4604
Phone number: 425-451-4141
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Mailing Address
Mr. THEODORE R MANULLANG MD
PO BOX 24503
SEATTLE, WA 98124-0503
Phone number: 425-451-4141
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