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1073018321
MIRA ROSE NELSON
PORT ANGELES, WA
NPI
1073018321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD61066210)
Enumeration Date
2018-03-28
Last Update Date
2021-11-05
Business Address
MIRA ROSE NELSON MD
240 W FRONT ST
PORT ANGELES, WA 98362-2609
Phone number: 360-452-7891
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Mailing Address
MIRA ROSE NELSON MD
550 16TH AVE STE 400
SEATTLE, WA 98122-5636
Phone number: 206-360-2484
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