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1710994058
MARTY DALE SURFACE
VANCOUVER, WA
NPI
1710994058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 201250206NP)
Enumeration Date
2006-08-01
Last Update Date
2022-05-27
Business Address
Dr. MARTY DALE SURFACE DNP, FNP-BC, ACHPN
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661-3713
Phone number: 360-905-1749
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Mailing Address
Dr. MARTY DALE SURFACE DNP, FNP-BC, ACHPN
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661-3713
Phone number: 503-383-8410
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