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Individual
ECHING VOON BERTELSEN
Active
Individual
ECHING VOON BERTELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004787
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
332220
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8424327
—
WA
Enumeration date
11/02/2006
Last updated
12/14/2007
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