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1407406994
KRISTLE BROWN
VANCOUVER, WA
NPI
1407406994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WA PA.PA.61106604)
Enumeration Date
2019-09-17
Last Update Date
2020-11-16
Business Address
Miss KRISTLE BROWN PA
7101 NE 137TH AVE
VANCOUVER, WA 98682-4933
Phone number: 800-813-2000
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Mailing Address
Miss KRISTLE BROWN PA
6015 N INTERSTATE AVE APT 441
PORTLAND, OR 97217-4792
Phone number: 860-539-7323
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