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1790543403
SUSANA ELIZABETH IPANAQUE HUACACOLQUE
EVERETT, WA
NPI
1790543403
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Former Name
SUSANA IPANAQUE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WA RN60035941)
Enumeration Date
2024-03-07
Last Update Date
2024-03-11
Business Address
SUSANA ELIZABETH IPANAQUE HUACACOLQUE RN
8129 FLORIDA DR
EVERETT, WA 98203-6633
Phone number: 425-312-5645
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Mailing Address
SUSANA ELIZABETH IPANAQUE HUACACOLQUE RN
8129 FLORIDA DR
EVERETT, WA 98203-6633
Phone number: 425-312-5645
Copy
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