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1164785531
ALENA F PONKRATOV
CHEHALIS, WA
NPI
1164785531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: WA AP60267251)
Enumeration Date
2012-06-20
Last Update Date
2012-10-01
Business Address
ALENA F PONKRATOV ARNP
2690 NE KRESKY AVE
CHEHALIS, WA 98532-2412
Phone number: 360-330-9595
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Mailing Address
ALENA F PONKRATOV ARNP
2690 NE KRESKY AVE
CHEHALIS, WA 98532-2412
Phone number: 360-330-9595
Copy
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