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Individual
MR. MICHAEL CORSILLES
Active
Individual
MR. MICHAEL CORSILLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
NT00001187
WA
363A00000X
Physician Assistant
Primary
PA60191026
WA
Other
Enumeration date
02/15/2007
Last updated
09/06/2018
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