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Vincent Blincoe

NPI Registration Record

Provider / OrganizationNPIDate Certified
VINCENT BLINCOE14377684392020-07-26
Entity TypeIndividual
Provider Name Vincent Blincoe
Practice Office Address2041 E MADISON ST
SEATTLE, WA US
Practice Office Telephone5107234562
Mailing Address2302 E DENNY WAY UNIT 306
SEATTLE, WA 981225451 US
Business Telephone5107234562
HPT Codes
CodeLicense NoState
111N00000X PRIMARYCH61040964 WA
OPI Codes

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