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SEATTLE, WA
NPI1942903240
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: WA  ML61426404)
Enumeration Date2023-03-24
Last Update Date2023-07-03
Business Address
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4800 SAND POINT WAY NE # OC.7830
SEATTLE, WA 98105-3901
Phone number: 206-987-2525
Mailing Address
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4800 SAND POINT WAY NE # OC.7830
SEATTLE, WA 98105-3901
Phone number: