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1720605678
RAINEY CELENE BANICK WOOD
CHEHALIS, WA
NPI
1720605678
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Former Name
RAINEY CELENE BANICK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP61083920)
Enumeration Date
2020-06-26
Last Update Date
2020-10-13
Business Address
RAINEY CELENE BANICK WOOD ARNP
28 SW CHEHALIS AVE
CHEHALIS, WA 98532-1933
Phone number: 360-790-3697
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Mailing Address
RAINEY CELENE BANICK WOOD ARNP
28 SW CHEHALIS AVE
CHEHALIS, WA 98532-1933
Phone number: 360-740-1296
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