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1053046359
KORTNIE VICTORIA PENA
LONGVIEW, WA
NPI
1053046359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WA RN61027680)
Enumeration Date
2022-07-20
Last Update Date
2022-07-20
Business Address
KORTNIE VICTORIA PENA
720 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-423-0203
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Mailing Address
KORTNIE VICTORIA PENA
PO BOX 1847
LONGVIEW, WA 98632-8140
Phone number: 360-423-0203
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