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1003463951
CORENE KIMBERLY IRVIN
PUYALLUP, WA
NPI
1003463951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: WA 60978206)
Enumeration Date
2019-08-23
Last Update Date
2021-11-01
Business Address
CORENE KIMBERLY IRVIN APRN
15508 80TH AVENUE CT E
PUYALLUP, WA 98375-8489
Phone number: 785-630-0608
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Mailing Address
CORENE KIMBERLY IRVIN APRN
15508 80TH AVENUE CT E
PUYALLUP, WA 98375-8489
Phone number:
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