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1407537426
STEPHANIE SOUTHWELL
VANCOUVER, WA
NPI
1407537426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QG0300X Family Medicine, Geriatric Medicine
(Licence: WA RN60939398)
Enumeration Date
2023-07-31
Last Update Date
2023-07-31
Business Address
STEPHANIE SOUTHWELL RN
7604 NE 176TH AVE
VANCOUVER, WA 98682-2371
Phone number: 503-989-7005
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Mailing Address
STEPHANIE SOUTHWELL RN
7604 NE 176TH AVE
VANCOUVER, WA 98682-2371
Phone number: 503-989-7005
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