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Individual

THIAGO ANTONIO JABUONSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12728 19TH AVE SE STE 200, EVERETT, WA 98208-6526
(425) 252-1116
(425) 252-1118
Mailing address
12728 19TH AVE SE STE 200, EVERETT, WA 98208-6526
(425) 252-1116

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
BC61190205
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD61169747
WA
207RP1001X
Pulmonary Disease Physician
BC61190205
WA

Other

Enumeration date
03/06/2012
Last updated
02/01/2024
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