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1821453002
MARK DETWILER
SEATTLE, WA
NPI
1821453002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WS0200X Registered Nurse, School
(Licence: WA RN60346597)
Enumeration Date
2015-12-15
Last Update Date
2015-12-15
Business Address
Mr. MARK DETWILER R.N.
10811 12TH AVE SW
SEATTLE, WA 98146-2125
Phone number: 206-631-4516
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Mailing Address
Mr. MARK DETWILER R.N.
3441 WALNUT AVE SW
SEATTLE, WA 98116-3442
Phone number: 206-631-7323
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