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1558030650
KATHY JOY MATSON
CENTRALIA, WA
NPI
1558030650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP00049999)
Enumeration Date
2021-09-10
Last Update Date
2021-09-10
Business Address
KATHY JOY MATSON LPN
917 S SCHEUBER RD
CENTRALIA, WA 98531-9027
Phone number: 360-736-9384
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Mailing Address
KATHY JOY MATSON LPN
18311 APRICOT ST SW
ROCHESTER, WA 98579-9229
Phone number: 360-790-4340
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