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1720764731
ANDREA JOHANSEN
KENT, WA
NPI
1720764731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP61590871)
Enumeration Date
2023-06-26
Last Update Date
2024-08-17
Business Address
ANDREA JOHANSEN
20618 142ND AVE SE
KENT, WA 98042-3066
Phone number: 415-891-5110
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Mailing Address
ANDREA JOHANSEN
20618 142ND AVE SE
KENT, WA 98042-3066
Phone number: 415-891-5110
Copy
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