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Individual
SEPIDEH MAKOUEI
Active
Individual
SEPIDEH MAKOUEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60794258
WA
363AM0700X
Medical Physician Assistant
PA60310395
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA60794258
WA STATE DEPARTMENT OF HEALTH
WA
Enumeration date
05/16/2016
Last updated
04/15/2022
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