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1902932452
JACK M DUTZAR
SEATTLE, WA
NPI
1902932452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD00016477)
Enumeration Date
2007-02-26
Last Update Date
2007-10-29
Business Address
-- JACK M DUTZAR MD
521 WALL ST
SEATTLE, WA 98121-1524
Phone number: 206-448-5848
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Mailing Address
-- JACK M DUTZAR MD
PO BOX 34584
SEATTLE, WA 98124-1584
Phone number: 509-241-7349
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