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1164592051
LICA IWASAKI
EVERETT, WA
NPI
1164592051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WA AP30007106)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
-- LICA IWASAKI
3901 HOYT AVE
EVERETT, WA 98201-4918
Phone number: 425-339-5468
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Mailing Address
-- LICA IWASAKI
3901 HOYT AVE
EVERETT, WA 98201-4918
Phone number:
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