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Individual

DR. GABRIELLE COULON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 339-5422
(425) 339-5444
Mailing address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 258-3903

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0024993
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1042027
WA
05
1366514010
MT
Enumeration date
11/15/2006
Last updated
11/03/2011
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