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Individual

PATRICK WILLIAM BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
16715 AURORA AVE N STE 102, SHORELINE, WA 98133-5310
(206) 546-9766
(206) 542-0326
Mailing address
16715 AURORA AVE N STE 102, SHORELINE, WA 98133-5310
(206) 546-9766
(206) 542-0326

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
07/11/2022
Last updated
07/11/2022
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