Jobs in Tukwila

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Physician Assistant / Psychiatry - Child / Washington / Locum Tenens / Advanced Practice Provider - Psychiatry and Partial Hospitalization Program
Salary not disclosed

We are seeking a compassionate and skilled Psychiatric Nurse Practitioner or Psychiatry-Trained Physician Assistant to join our multidisciplinary South Clinic team. This full-time position will have approximately 50% of clinical time dedicated to our Partial Hospitalization Program (PHP) and 50% to outpatient psychiatry services, including in-person and telepsychiatry visits.

The ideal candidate is committed to providing high-quality, developmentally informed, and family-centered mental health care for children and adolescents across a range of acuity levels and treatment settings.

Key Responsibilities:

Provide direct psychiatric care to pediatric patients in a Partial Hospitalization Program and outpatient settings (in-person and telehealth)

Conduct psychiatric evaluations, obtain patient histories, and perform physical assessments as appropriate

Order and interpret diagnostic tests and screening tools

Prescribe and manage psychotropic medications in accordance with best practices and clinical guidelines

Collaborate with attending child psychiatrists, psychologists, therapists, and other healthcare team members

Maintain timely and accurate documentation in the electronic health record (EHR)

Contribute to departmental and organizational quality improvement initiatives

Participate in education and training efforts for patients, families, and staff

Anticipated work schedule: Monday?Friday, 8:00 AM ? 5:00 PM

Learn more about the Seattle Children's South Clinic: Education/Experience:

Master's degree as Psychiatric Mental Health Nurse Practitioner or graduate of a nationally accredited physician assistant program

One year work experience in a pediatric or family focused clinical area.

Required Credentials:

For NPs:

Active, unencumbered registered nurse and advanced registered nurse practitioner licensure in the State of Washington

Current national certification as a pediatric or family nurse practitioner

For PAs:

Active, unencumbered physician assistant licensure in the State of Washington

Initial certification by the National Commission on Certification of Physician Assistants

For All Providers:

Active Drug Enforcement Authority registration

Current American Heart Association Basic Life Support (BLS) for Healthcare Professionals is required at time of hire and to be maintained continuously throughout employment. American Heart Association Pediatric Advanced Life Support (PALS) will also be accepted in lieu of BLS for Healthcare Professionals.

Some clinical locations may require American Heart Association Pediatric Life Support training and continuous maintenance of certification.

Active clinical privileges as an Allied Health Provider at Seattle Children's Hospital must be secured prior to time of hire and must be maintained in good standing and in compliance with all medical staff bylaws, continuously throughout employment.

Any and all medical or allied health professional staff privileges at Children's will terminate automatically upon the termination of the individual's employment at Children's. Termination of employment does not prohibit the individual from seeking medical or allied health professional staff privileges at Children's as a non-employee in any category for which the individual qualifies. Questions regarding medical or allied health professional staff privileges may be directed to Medical Staff Services.

Preferred:

Two years experience in advanced practice provider role

Two years experience in pediatric health care

Compensation Range

$144,449 - $212,444 per year

*This position is eligible for relocation for qualified candidates.*

Salary Information

This compensation range was calculated based on full-time employment (2080 hours worked per calendar year). Offers are determined by multiple factors including equity, skills, experience, and expertise, and may vary within the range provided.

Disclaimer for Out of State Applicants

This compensation range is specific to Seattle, positions located outside of Seattle may be compensated differently depending on various factors.

Benefits Information

Seattle Children?s offers a generous benefit package, including medical, dental, and vision plans, 403(b), life insurance, paid time off, tuition reimbursement, and more. Additional details on our benefits can be found on our website Us

Hope. Care. Cure. These three simple words capture what we do at Seattle Children?s ? to help every child live the healthiest and most fulfilling life possible. Are you ready to engage with a mission-driven organization that is life-changing to many, and touches the hearts of all? #HOPECARECURE

Our founding promise to the community is as valid today as it was over a century ago: we will care for all children in our region, regardless of the families? ability to pay. Together, we deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent, academic medical center for Washington, Alaska, Montana and Idaho ? the largest region of any children?s hospital in the country. U.S. News & World Report consistently ranks Seattle Children?s among the nation?s best children?s hospitals. For more than a decade, Seattle Children?s has been nationally recognized in key specialty areas. We are honored to be one of the nation?s very best places to care for children and the top-ranked pediatric hospital in Washington and the Pacific Northwest.

As a Magnet designated institution, we recognize the importance of hiring and developing great talent to provide best-in-class care to the patients and families we serve. Our organizational DNA takes form in our core values: Compassion, Excellence, Integrity, Collaboration, Equity and Innovation. Whether it?s delivering frontline care to our patients in a kind and caring manner, practicing the highest standards of quality and safety, or being relentlessly curious as we work towards eradicating childhood diseases, these values are the fabric of our culture and community. The future starts here.

Our Commitment

Seattle Children?s welcomes people of all experiences, backgrounds, and thoughts as this is what drives our spirit of inquiry and allows us to better connect with our patients and families. Our organization recruits, employs, trains, compensates, and promotes based on merit without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

The people who work at Seattle Children?s are members of a community that seeks to respect and celebrate all the qualities that make each of us unique. Each of us is empowered to be ourselves.

Seattle Children?s is proud to be an Equal Opportunity Workplace and Affirmative Action Employer.

Not Specified
Physician Assistant / Cardiology / Washington / Locum Tenens / Nurse Practitioner or Physician Assistant, HouseCalls - King County, WA
🏢 Optum
Salary not disclosed
Seattle, Washington 2 weeks ago

$40,000 Student Loan Repayment Or $30,000 Sign-on Bonus For Individuals Who Have Not Previously Participated In This Program

Flexible provider schedules available between 20-40 hours per week

Optum is seeking a Nurse Practitioner or Physician Assistant to join our HouseCalls team in King County, WA. Optum is a clinician-led care organization, that is creating a seamless health journey for patients across the care continuum.

As a member of the broader Home and Community Care team, you?ll provide annual clinical assessments to patients in the comfort of their homes. This important preventive care helps identify and reduce health risks for patients, in addition to coordinating appropriate follow-up care to improve health and well-being.

At Optum, the integrated medical teams who practice within Home and Community Care are creating something new in health care. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We?re connecting care to create a seamless health journey for patients across care settings. Join our team, it?s your chance to improve the lives of millions while Caring. Connecting. Growing together.

In this role you will have the ability to achieve work life balance. Flexible scheduling offered where providers can flex their time over the 7-day work week. No on-call, no weekends and no holidays required.

Primary Responsibilities:

  • Conduct in-home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam
  • Perform evidence-based practice screenings including point of care testing (as appropriate)
  • Identify diagnoses to be used in care management and active medical management in the furtherance of treatment
  • Formulate a list of current and past medical conditions using clinical knowledge and judgment and the findings of your assessment
  • Communicate findings in your assessment that will be used to inform member?s PCP of potential gaps in care
  • Identify urgent and emergent situations and intervene appropriately
  • Educate members on topics such as disease process, medication, and compliance

You?ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Active NP or PA license or ability to obtain by start date. Licensure must be unencumbered, free of any open/unresolved disciplinary actions including probation or restrictions against privilege to practice
  • Active ANCC or AANP national certification in Family, Geriatrics, Adult, Adult-Gerontology Primary Care, or Adult-Gerontology Acute Care certification, or the ability to obtain national certification and/or NP license in state of assignment by start date; OR for PAs - Physician Assistant national certification through NCCPA
  • Ability to complete physical requirements of the job including lifting a 30-pound bag in and out of the car, navigating stairs and a variety of dwelling conditions, and sit, stand and kneel to perform physical assessment
  • Reliable transportation to complete home visit assessments

Preferred Qualifications:

  • 1+ years of clinical experience in their highest level of education, clinical setting
  • May be requested to obtain additional licensure in other geographic areas
  • Experience in gerontology, cardiology, internal medicine, or endocrinology
  • Home Health care or home visit experience
  • Ability to travel throughout the state, beyond your assigned region, up to 5% of the time. Based on business needs with advanced notice, eligible for additional compensation incentives
  • Fluency in Spanish, Cantonese, Korean, Vietnamese, Polish, or other language

The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

Compensation for this specialty generally ranges from $104,500 to $156,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Not Specified
Physician Assistant / Surgery - Trauma / Washington / Permanent / PHYSICIAN ASST - Trauma
Salary not disclosed
Duwamish, Washington 2 weeks ago

Make it happen at Hopkins! Johns Hopkins Suburban Hospital is seeking a highly skilled and motivated Nurse Practitioner or Physician Assistant to join our General Surgery team.

This unique position focuses on inpatient rounding responsibilities.

The successful candidate will work closely with surgeons, residents, and other healthcare professionals to provide exceptional patient care and support the surgical team.

permanent
Physician Assistant / Surgery - General / Washington / Permanent / PHYSICIAN ASST - GENERAL SURGICAL
🏢 Johns Hopkins Medicine
Salary not disclosed
Duwamish, Washington 2 weeks ago

Make it happen at Hopkins! Johns Hopkins Suburban Hospital is seeking a highly skilled and motivated Nurse Practitioner or Physician Assistant to join our General Surgery team.

This unique position focuses on inpatient rounding responsibilities.

The successful candidate will work closely with surgeons, residents, and other healthcare professionals to provide exceptional patient care and support the surgical team.

Work Schedule: FT, Rotating shifts, some weekends / holidays required.

permanent
Physician Assistant / Administration / Washington / Locum Tenens / Nurse Practitioner (ARNP) or Physician Assistant (PA) - PNW PACE
Salary not disclosed
DesMoines, Washington 2 weeks ago

You Belong Here.At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve.FTE: 1.0 Shift: Day, Schedule: Mon - Fri and weekend shifts as call rotationAnnual Salary Range: Minimum: $124,248.00 - Maximum: $168,521.00The PNW PACE APP is a Primary Care Provider under the PACE Program and functions as a member of the interdisciplinary team. The PNW PACE ARNP works at the PACE Center clinic and performs home visits.Position SummaryMultiCare Health System is seeking a Care Continuum Nurse Practitioner to join our well-established, thriving and comprehensive practice. Providers at MultiCare are recognized as being among the best in the Northwest Region. Here, you'll find everything you need to excel in your job including outstanding facilities, comprehensive resources and talented teammates in partnering for healing and a healthy future.Requirements

  • Washington State Nurse Practitioner license by the time of employment
  • DEA, NPI & Prescriptive authority
  • Current BLS for Healthcare Providers certification by the American Heart Association

Our ValuesAs a MultiCare employee, we'll rely on you to reflect our core values of Respect, Integrity, Stewardship, Excellence, Collaboration, Kindness and Joy. Our values serve as our guiding principles and impact every aspect of our organization, including how we provide patient care and what we expect from each other.Why MultiCare?

  • Belonging: We work to create a true sense of belonging for all our employees
  • Mission-driven: We are dedicated to our mission of partnering for healing and a healthy future and the patients and communities we serve
  • Market leadership: Washington state's largest community-based, locally governed health system
  • Employee-centric: Named Forbes "America's Best Employers by State" for several years running
  • Technology: "Most Wired" health care system 15 years in a row
  • Leading research: MultiCare Institute for Research & Innovation, 40 years of ground-breaking, clinical and health services research in our communities
  • Lifestyle: Live and work in the Pacific Northwest - offering breathtaking water, mountains and forest at every turn

Pay and Benefit ExpectationsWe provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $130,461.00 - $176,947.00 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant's years of experience align.Associated benefit information can be viewed here.

Not Specified
Physician Assistant / Emergency Medicine / Washington / Permanent / PA - Surgery/Robotics Team
Salary not disclosed
DesMoines, Washington 2 weeks ago

This is a Part Time (Limited) position-Two 10 hour shifts per week (includes call twice per month including weekend rotations).

Sibley Memorial Hospital is a non-profit, full service 318 bed acute care community hospital serving the Washington, DC area. Sibley offers medical, surgical, intensive care, obstetric, oncology, orthopaedic, skilled nursing inpatient services, and a state-of-the-art 24-hour Emergency Department. Sibley's campus, with its new patient tower, is also home to the Johns Hopkins Kimmel Cancer Center, the Johns Hopkins National Proton Therapy Center, Grand Oaks - an assisted living residence - a medical building with physician offices and an ambulatory surgery and imaging center.

The Physician Assistant (Surgical PA-C, Licensed) provides direct assistance to the primary surgeon during surgical procedures. Prefer PA applicants with 5 years of experience in surgical assistance or successful completion of a Physician Assistant ? Surgical Program or Surgical residency. Knowledge of and ability to maintain sterile technique required. Knowledgeable about diagnostic ancillary testing and interpretation of test results, medications and current treatment regimes required. The Physician Assistant performs preoperative histories and physicals on patients for each attending physician. Writes post-op notes and orders for each patient in the Post Anesthesia Care Unit (PACU). May respond to calls from nursing units regarding clinical management of the surgical patients, assessing, diagnosing and writing orders on behalf of the attending physician. Performs special clinical procedures under the direction of the attending physician.

Qualifications:

  • Completion of an AMA approved Physician Assistance Master's Degree Program
  • Active DC License & NCCPA Certification
  • Active CDS/DEA licenses
  • Active PECOS enrollment
  • BLS Health Care Provider CPR and ACLS certification required
  • 5 years Surgical PA multidisciplinary work experience required, to include Laparoscopic and Robotic experience

You must be fully credentialled by the Sibley Memorial Hospital medical board with staff privileges to start working.

Salary Range: Minimum $61.47/hour - Maximum $95.27/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility.

In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins!

Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.

permanent
Physician Assistant / Surgery - Orthopedics / Washington / Locum Tenens / Physician Assistant ? Orthopedics
Salary not disclosed
Seattle, Washington 2 weeks ago

A well-established Orthopedic Group seeks a full-time orthopedic Physician Assistant.

· The Physician Assistant will be part of a fast-moving team working directly with a Fellowship trained Orthopedic Surgeon.

· This doctor utilizes the latest surgical techniques and has an excellent reputation in the community.

· The position includes both the OR and the clinic with a strong focus on sports medicine.

· The Physician Assistant will run a parallel clinic to the doctor.

Successful Physician Assistant candidates should have some orthopedic experience but will train the right candidate. The location is one hour south of Seattle.

Compensation: Excellent compensation and a full benefits package.

Job Type: Full-time

Pay: $118,000.00 - $170,000.00 per year

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Parental leave
  • Retirement plan
  • Vision insurance

Education:

  • Master's (Required)

Experience:

  • orthopedic: 1 year (Preferred)

License/Certification:

  • PA-C (Preferred)
  • Physician Assistant License (Preferred)

Work Location: In person

Not Specified
Physician Assistant / Psychiatry / Washington / Permanent / PRN Physician Assistant - Primary Care
🏢 MultiCare Health System
Salary not disclosed
Seattle, Washington 2 weeks ago

You Belong Here.

At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve.

About the Opportunity

Join a compassionate and collaborative team providing essential Primary Care services to patients in a psychiatric inpatient setting. This unique role offers flexibility and the opportunity to deliver high-quality care to individuals who otherwise may not have access to primary care.

What You?ll Do:

? Deliver in-person Primary Care services in a freestanding inpatient psychiatric hospital during business hours.

? Manage an average of 1-2 new admissions per day and 3-4 acute visits daily.

? Conduct basic procedures such as suture removal and wound care.

? Collaborate with an established team of psychiatric providers, social workers, nurses, and mental health specialists.

What You?ll Get:

? Flexible schedule with no after-hours or overnight call.

? Supportive team environment that values communication and respect.

? Opportunity to impact patients? lives by addressing primary care needs often overlooked in psychiatric settings.

The Ideal Candidate

We?re looking for a compassionate and adaptable Primary Care Provider who thrives in a dynamic environment. This position is perfect for someone who enjoys working with diverse patient populations and contributing to a friendly, patient-focused culture.

What You Need:

? Active licensure as a PA-C, or ARNP

? Experience in primary care, internal medicine, family medicine or psychiatry preferred

? Strong interest in serving patients with psychiatric conditions

Key Highlights

? Flexible per diem schedule with a focus on weekend coverage(occasional weekday)

? Inpatient psychiatric setting with manageable patient volume

? Work alongside a knowledgeable and welcoming care team

? Minimal procedures with outpatient-level primary care expectations

About the Facility

Navos West Seattle Campus is a freestanding psychiatric inpatient hospital with a long-standing, integrated Primary Care team. The practice is built on a culture of collaboration and a commitment to delivering comprehensive care to underserved populations.

Interested?

Apply today to join a team that makes a difference in patients? lives every day while enjoying a flexible, rewarding work environment. Contact for more information!

Position Summary

The Primary Care PA-C provides routine medical care in a 70-bed involuntary inpatient psychiatric facility. This role involves conducting complete medical examinations, diagnosing medical conditions, and managing medical treatment for routine problems, with consultation from the supervising physician as needed.

Responsibilities

  • Perform routine H&Ps for every new admission.
  • Assess and manage medical conditions, including acute complaints and chronic illnesses.
  • Complete Treatment Plan goals for medical care as part of an interdisciplinary team.
  • Consult with psychiatric providers regarding co-occurring psychiatric and medical conditions.
  • Prescribe, monitor, and evaluate results of prescribed medications.
  • Order and interpret laboratory tests as required for medical care.
  • Provide substance withdrawal management as needed.
  • Accurately and appropriately document medical care provided.
  • Implement antimicrobial stewardship practices.
  • Perform other duties as assigned.

Requirements

  • Washington State Physician Assistant license by the time of employment
  • DEA, NPI & prescriptive authority
  • Current BLS for Healthcare Providers certification by the American Heart Association
  • Experience providing medical care in family practice, geriatric, and young adult populations
  • Preferred experience working with mentally ill populations
  • Familiarity with rules, regulations, and professional standards governing the treatment of mentally ill clients
  • Interest and ability to provide care for a chronic population with multiple medical and psychiatric problems

Our Values

As a MultiCare employee, we'll rely on you to reflect our core values of Respect, Integrity, Stewardship, Excellence, Collaboration, Kindness and Joy. Our values serve as our guiding principles and impact every aspect of our organization, including how we provide patient care and what we expect from each other.

Why MultiCare?

  • Belonging: We work to create a true sense of belonging for all our employees
  • Mission-driven: We are dedicated to our mission of partnering for healing and a healthy future and the patients and communities we serve
  • Market leadership: Washington state's largest community-based, locally governed health system
  • Employee-centric: Named Forbes ?America?s Best Employers by State? for several years running
  • Technology: "Most Wired" health care system 15 years in a row
  • Leading research: MultiCare Institute for Research & Innovation, 40 years of ground-breaking, clinical and health services research in our communities
  • Lifestyle: Live and work in the Pacific Northwest - offering breathtaking water, mountains and forest at every turn

Pay and Benefit Expectations

We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $136,984.00 - $185,795.00 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant?s years of experience align.

Associated benefit information can be viewed here.

permanent
Physician Assistant / Cardiology / Washington / Locums to Perm / Locum Nurse Practitioner/ Physician Assistant - Cardiology
Salary not disclosed
Seattle, Washington 2 weeks ago

OverviewWe are seeking a dedicated and skilled Locum Nurse Practitioner/ Physician Assistant - Cardiology for our client in Washington!

Responsibilities:

  • Provide general cardiology care in an outpatient clinic setting
  • Manage patient evaluations, follow-ups, and ongoing treatment plans
  • Ensure continuity of care during the maternity leave coverage period

Qualifications:

  • Board-certified or board-eligible in cardiology
  • Active and unrestricted medical license
  • Previous outpatient cardiology experience preferred

Schedule:

  • Full-time coverage for the duration of the leave
  • Option of 5x8-hour shifts or 4x10-hour shifts per week
  • Anticipated start date in December, with coverage need beginning as early as October
  • Potential for expedited credentialing if responsive with paperwork

Skills:

  • Strong clinical knowledge in general cardiology
  • Ability to manage a high-volume outpatient schedule effectively
  • Excellent communication and interpersonal skills
  • Attention to detail and responsiveness with administrative requirements

All travel expenses are reimbursed by our client and Orchard covers malpractice insurance with tail coverage!

Job Type: Contract

Pay: $135.00 - $145.00 per hour

Benefits:

  • Referral program

Work Location: In person

Not Specified
Physician Assistant / Surgery - Orthopedics / Washington / Permanent / Physician Assistant - Orthopedics
Salary not disclosed
CID, Washington 2 weeks ago

Physician Assistant
- Orthopedics: Full Time Pay Range: $119,549
- $191,279 With over 150 years of caring for our community and each other in the Washington, D.C.

area, Howard University Hospital has a world-renowned reputation for high-quality, patient-centric care.

Howard University Hospital is the nation???s only teaching hospital located on the campus of a Historically Black University and has created a superior learning environment with groundbreaking research and positive patient outcomes.

permanent
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