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1992842033
CHARLES J CREVELING
SEATTLE, WA
NPI
1992842033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10001183)
Enumeration Date
2007-01-30
Last Update Date
2008-04-09
Business Address
-- CHARLES J CREVELING PAC
904 7TH AVE
SEATTLE, WA 98104-1132
Phone number: 206-223-6487
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Mailing Address
-- CHARLES J CREVELING PAC
1100 OLIVE WAY MSC M4-PA
SEATTLE, WA 98101-1873
Phone number: 206-511-5581
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