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1992094841
CODY GILLENWATER
SEATTLE, WA
NPI
1992094841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: WA ML90222962)
Enumeration Date
2011-03-31
Last Update Date
2014-04-09
Business Address
-- CODY GILLENWATER MD
1959 NE PACIFIC ST
SEATTLE, WA 98195-0001
Phone number: 206-685-0936
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Mailing Address
-- CODY GILLENWATER MD
BB-928 HEALTH SCIENCES BLDG UNIVERSITY OF WASHINGTON BOX 356490
SEATTLE, WA 98195-6490
Phone number: 206-685-0936
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