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Individual
MR. DOUGLAS STUART DEDO
Active
Individual
MR. DOUGLAS STUART DEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MCHS
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.60331790
WA
Other
Enumeration date
02/01/2013
Last updated
03/01/2017
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