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1073190005
MARGARET DE LA VERGNE
VANCOUVER, WA
NPI
1073190005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: WA 61115079)
Enumeration Date
2021-03-25
Last Update Date
2021-03-25
Business Address
MARGARET DE LA VERGNE
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6055
Phone number: 360-418-6001
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Mailing Address
MARGARET DE LA VERGNE
1630 SW CLAY ST APT 8A
PORTLAND, OR 97201-6052
Phone number: 425-503-9228
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