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Individual
MARK ELIOT WHIPPLE
Active
Individual
MARK ELIOT WHIPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00040547
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0232176
L&I
WA
05
—
1740365576
—
WA
01
—
34060
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/27/2006
Last updated
08/27/2012
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