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1043238033
JAN CARLIN KHOURI
LONGVIEW, WA
NPI
1043238033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ00096700)
Enumeration Date
2006-07-17
Last Update Date
2022-07-21
Business Address
Ms. JAN CARLIN KHOURI APRN
784 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-703-6400
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Mailing Address
Ms. JAN CARLIN KHOURI APRN
1057 12TH AVE
LONGVIEW, WA 98632-2509
Phone number: 360-353-3256
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