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1366780389
FAITH MMBOROTHI
CHEHALIS, WA
NPI
1366780389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP60325365)
Enumeration Date
2013-01-25
Last Update Date
2013-01-25
Business Address
-- FAITH MMBOROTHI
2690 NE KRESKY AVE
CHEHALIS, WA 98532-2412
Phone number: 360-330-9595
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Mailing Address
-- FAITH MMBOROTHI
2690 NE KRESKY AVE
CHEHALIS, WA 98532-2412
Phone number: 360-330-9595
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