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1538867882
JACKY KINGSADA
ISSAQUAH, WA
NPI
1538867882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: WA AP61412255)
Enumeration Date
2023-02-16
Last Update Date
2023-02-18
Business Address
JACKY KINGSADA NP
195 NE GILMAN BLVD STE 200
ISSAQUAH, WA 98027-2940
Phone number: 253-204-9386
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Mailing Address
JACKY KINGSADA NP
314 8TH AVE N
ALGONA, WA 98001-4305
Phone number: 253-204-9386
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