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Individual

DR. PAULO J CANCADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
216 W 10TH AVE, SUITE 304, KENNEWICK, WA 99336-6300
(509) 585-5972
(509) 586-5701
Mailing address
216 W 10TH AVE, SUITE 304, KENNEWICK, WA 99336-6304
(509) 585-5972
(509) 586-5701

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD0000033734
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0160721
LABOR & INDUSTRIES #
WA
05
1116714
WA
01
8936953
CRIME VICTIMS NUMBER
WA
Enumeration date
09/13/2005
Last updated
06/12/2012
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