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1710438163
GERMONE SOUTHALL
EVERETT, WA
NPI
1710438163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA AP61462149)
Enumeration Date
2016-10-20
Last Update Date
2023-10-02
Business Address
GERMONE SOUTHALL PMHNP-BC
4526 FEDERAL AVE
EVERETT, WA 98203-2132
Phone number: 425-349-6200
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Mailing Address
GERMONE SOUTHALL PMHNP-BC
4526 FEDERAL AVE # WA
EVERETT, WA 98203-2132
Phone number: 425-349-6200
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