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1952042699
JOHN CLINTON OLIVAS
SEATTLE, WA
NPI
1952042699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA MDRE.ML.61293577)
Enumeration Date
2022-04-06
Last Update Date
2022-04-28
Business Address
JOHN CLINTON OLIVAS MD
1959 NE PACIFIC ST
SEATTLE, WA 98195-0001
Phone number: 509-969-4254
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Mailing Address
JOHN CLINTON OLIVAS MD
9802 BITTNER RD
YAKIMA, WA 98901-9769
Phone number: 509-969-4254
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