Provider Demographics
NPI:1598915860
Name:AGUILAR, JOHN S JR (DAOM, EAMP)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:S
Last Name:AGUILAR
Suffix:JR
Gender:M
Credentials:DAOM, EAMP
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Mailing Address - Street 1:4726 11TH AVE NE
Mailing Address - Street 2:APT 506
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105
Mailing Address - Country:US
Mailing Address - Phone:425-299-0431
Mailing Address - Fax:206-824-2024
Practice Address - Street 1:1904 3RD AVE
Practice Address - Street 2:STE 800
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101
Practice Address - Country:US
Practice Address - Phone:425-299-0431
Practice Address - Fax:206-824-2024
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-23
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO919171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist