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1134994916
JACKIE LYN WANTLAND
YAKIMA, WA
NPI
1134994916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WW0000X Registered Nurse, Wound Care
(Licence: WA RN00169179)
Enumeration Date
2023-11-21
Last Update Date
2023-11-21
Business Address
JACKIE LYN WANTLAND RN
7 S 10TH AVE
YAKIMA, WA 98902-3318
Phone number: 509-575-5093
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Mailing Address
JACKIE LYN WANTLAND RN
7 S 10TH AVE
YAKIMA, WA 98902-3318
Phone number: 509-575-5093
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