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1710389846
LAKEW ADNEW
DES MOINES, WA
NPI
1710389846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA AP60480672)
Enumeration Date
2014-09-19
Last Update Date
2019-04-11
Business Address
LAKEW ADNEW
22634 10TH AVE S
DES MOINES, WA 98198-6915
Phone number: 206-235-8112
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Mailing Address
LAKEW ADNEW
22634 10TH AVE S
DES MOINES, WA 98198-6915
Phone number: 206-235-8112
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