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1104810480
SHARON MACK DERSTINE
PORT ANGELES, WA
NPI
1104810480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: WA AP30005738)
Enumeration Date
2005-09-01
Last Update Date
2008-07-11
Business Address
-- SHARON MACK DERSTINE ARNP
1106 E 1ST ST
PORT ANGELES, WA 98362-4317
Phone number: 360-452-2954
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Mailing Address
-- SHARON MACK DERSTINE ARNP
1106 E 1ST ST
PORT ANGELES, WA 98362-4317
Phone number: 360-452-2954
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