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Individual
MR. JONATHAN CLARK SILLIMAN
Active
Individual
MR. JONATHAN CLARK SILLIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EAMP
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60367837
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC60367837
EAMP LICENSE NUMBER
WA
Enumeration date
06/05/2013
Last updated
06/05/2013
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