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Individual

PHILLIP ERVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(425) 598-4548
Mailing address
2076 NW MULLRIDGE PL UNIT K208, ISSAQUAH, WA 98027-7541
(210) 313-1893

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61094880
WA

Other

Enumeration date
08/10/2020
Last updated
08/10/2020
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