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1104691658
BETHANY L MADDEN
LONGVIEW, WA
NPI
1104691658
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Former Name
BETHANY L STARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP61478800)
Enumeration Date
2023-11-15
Last Update Date
2023-11-15
Business Address
BETHANY L MADDEN ARNP
1057 12TH AVE
LONGVIEW, WA 98632-2509
Phone number: 360-636-3892
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Mailing Address
BETHANY L MADDEN ARNP
1057 12TH AVE
LONGVIEW, WA 98632-2509
Phone number: 360-636-3892
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