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1689325144
SOPHIA C RAEVOURI
VANCOUVER, WA
NPI
1689325144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA AP61370244)
Enumeration Date
2022-01-15
Last Update Date
2022-12-12
Business Address
SOPHIA C RAEVOURI
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661-7254
Phone number: 360-993-3000
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Mailing Address
SOPHIA C RAEVOURI
9 VICOLO LOREN
HENDERSON, NV 89011-3193
Phone number: 626-899-8567
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