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1821142738
LISA D ZYLSTRA
VANCOUVER, WA
NPI
1821142738
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Former Name
LISA M DEKKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA PA10004703)
Enumeration Date
2007-01-22
Last Update Date
2022-01-21
Business Address
Mrs. LISA D ZYLSTRA PA-C
406 SE 131ST AVE STE C305
VANCOUVER, WA 98683-4004
Phone number: 360-816-0277
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Mailing Address
Mrs. LISA D ZYLSTRA PA-C
24015 NE W H GARNER RD
YACOLT, WA 98675-4303
Phone number: 360-823-8084
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