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1144873969
LOAN VAN
BREMERTON, WA
NPI
1144873969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP60985721)
Enumeration Date
2019-07-21
Last Update Date
2020-08-31
Business Address
LOAN VAN FNP
4207 KITSAP WAY
BREMERTON, WA 98312-2447
Phone number: 360-415-1080
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Mailing Address
LOAN VAN FNP
24283 E 2ND DR
AURORA, CO 80018-1598
Phone number: 808-457-5441
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