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Individual
TERRILL R UTT
Active
Individual
TERRILL R UTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00023440
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202275
L & I
WA
05
—
1111319
—
WA
01
—
8937932
CRIME VICTIMS
WA
01
—
P00280536
RAILROAD
WA
Enumeration date
07/30/2006
Last updated
11/10/2010
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