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Individual
SEAN H FLACK
Active
Individual
SEAN H FLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
TR00043838
WA
207LP3000X
Pediatric Anesthesiology Physician
Primary
TR00043838
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320210
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8398513
—
WA
Enumeration date
10/13/2006
Last updated
02/05/2009
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