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1740674530
NICOLE LARA
VANCOUVER, WA
NPI
1740674530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: WA AP60535353)
Enumeration Date
2015-03-19
Last Update Date
2015-03-19
Business Address
-- NICOLE LARA AGPCNP
650 N DEVINE RD SUITE B
VANCOUVER, WA 98661-6979
Phone number: 360-952-4457
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Mailing Address
-- NICOLE LARA AGPCNP
650 N DEVINE RD SUITE B
VANCOUVER, WA 98661-6979
Phone number: 360-952-4457
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