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1912625682
GEORGE ANDRANIK AVTANDILOV
RENTON, WA
NPI
1912625682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA61326320)
Enumeration Date
2022-08-18
Last Update Date
2022-10-04
Business Address
GEORGE ANDRANIK AVTANDILOV PA-C
4011 TALBOT RD S STE 430
RENTON, WA 98055-5791
Phone number: 425-690-3498
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Mailing Address
GEORGE ANDRANIK AVTANDILOV PA-C
4011 TALBOT RD S STE 430
RENTON, WA 98055-5791
Phone number: 425-690-3498
Copy
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