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Individual

DESEAN RODGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
325 9TH AVE, BOX # 359732, SEATTLE, WA 98104-2420
(206) 744-9240
Mailing address
14587 NE 35TH ST, I-311, BELLEVUE, WA 98007-8550
(719) 930-9993

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60683616
WA

Other

Enumeration date
09/06/2016
Last updated
09/06/2016
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