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Individual

DR. SUSAN HANKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
6329 15TH AVE NE, SEATTLE, WA 98115-6803
(206) 364-7126
(206) 522-1997
Mailing address
6529 17TH AVE NE, SEATTLE, WA 98115-6842
(206) 364-7126
(206) 522-1997

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001289
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2056307
WA
01
HA3666
REGENCE BLUE SHIELD
WA
Enumeration date
03/01/2007
Last updated
07/08/2007
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