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1891927604
AUSTEN L STASIAK
VANCOUVER, WA
NPI
1891927604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD60260895)
Enumeration Date
2009-08-12
Last Update Date
2016-10-17
Business Address
-- AUSTEN L STASIAK MD
2525 NE 139TH ST STE 130
VANCOUVER, WA 98686-2719
Phone number: 360-882-2778
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Mailing Address
-- AUSTEN L STASIAK MD
PO BOX 873010
VANCOUVER, WA 98687-3010
Phone number: 360-882-2778
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