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1205434701
DEIDRE ANN MANCE
BUCKLEY, WA
NPI
1205434701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP61098433)
Enumeration Date
2020-10-15
Last Update Date
2020-10-15
Business Address
DEIDRE ANN MANCE ARNP
2120 RYAN RD
BUCKLEY, WA 98321-9115
Phone number: 360-829-1111
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Mailing Address
DEIDRE ANN MANCE ARNP
PO BOX 1377
BUCKLEY, WA 98321-1377
Phone number: 253-740-5964
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