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1194903815
DEBRA AXT
CENTRALIA, WA
NPI
1194903815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP00041803)
Enumeration Date
2008-02-05
Last Update Date
2008-02-05
Business Address
DEBRA AXT
1900 COOKS HILL RD
CENTRALIA, WA 98531-9073
Phone number: 360-736-2889
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Mailing Address
DEBRA AXT
1900 COOKS HILL RD
CENTRALIA, WA 98531-9073
Phone number: 360-736-2889
Copy
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