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1972782514
SERGEY D KUKHOTSKY
EVERETT, WA
NPI
1972782514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10005315)
Enumeration Date
2007-10-31
Last Update Date
2007-10-31
Business Address
-- SERGEY D KUKHOTSKY PAC
1019 112TH ST SW
EVERETT, WA 98204
Phone number: 425-551-6200
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Mailing Address
-- SERGEY D KUKHOTSKY PAC
1019 112TH ST SW
EVERETT, WA 98204
Phone number: 425-551-6200
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