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Individual

DR. SANDRA PAULINE EWASKOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1280 116TH AVE NE, SUITE 210, BELLEVUE, WA 98004-3803
(425) 646-0922
(425) 646-0925
Mailing address
PO BOX 100559, FLORENCE, SC 29501-0559
(843) 664-4300
(846) 664-4308

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD00031308
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8323412
WA
Enumeration date
02/28/2006
Last updated
01/02/2008
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