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Individual

AMANDA KAY DEBOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
401 BROADWAY, SUITE 2075, SEATTLE, WA 98104
(206) 744-1600
(206) 744-1614
Mailing address
8704 FREMONT AVE N, SEATTLE, WA 98103-3819
(360) 850-8494

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60565113
WA

Other

Enumeration date
04/22/2020
Last updated
04/22/2020
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