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Individual

JAN M AGOSTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST, SEATTLE, WA 98195-6166
(206) 598-7600
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD00019508
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5604
INTERNAL ID-MOTOR VEHICLE ID
05
8376907
WA
Enumeration date
10/27/2006
Last updated
07/08/2007
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