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1235589128
CHANDRA KRISTI COGBURN
PUYALLUP, WA
NPI
1235589128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA 60657872)
Enumeration Date
2016-06-21
Last Update Date
2016-06-21
Business Address
-- CHANDRA KRISTI COGBURN ARNP
325 E PIONEER
PUYALLUP, WA 98372-3265
Phone number: 253-697-8400
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Mailing Address
-- CHANDRA KRISTI COGBURN ARNP
16518 147TH AVE SE
RENTON, WA 98058-8203
Phone number: 253-327-8177
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