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Individual

SCOT A SORUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1331 118TH AVE SE, SUITE 200, BELLEVUE, WA 98005
(425) 455-4038
(425) 455-4052
Mailing address
1331 118TH AVE SE, SUITE 200, BELLEVUE, WA 98005
(425) 455-4038
(425) 455-4052

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003669
WA

Other

Enumeration date
05/05/2009
Last updated
05/05/2009
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