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1558605071
LIDIA WIERSUM
ISSAQUAH, WA
NPI
1558605071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: WA AP60321256)
Enumeration Date
2012-11-21
Last Update Date
2020-10-09
Business Address
LIDIA WIERSUM
2445 270TH AVE SE
ISSAQUAH, WA 98029-7901
Phone number: 262-748-5588
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Mailing Address
LIDIA WIERSUM
2445 270TH AVE SE
ISSAQUAH, WA 98029-7901
Phone number: 262-748-5588
Copy
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