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1851474704
LISA A VICKERS
YAKIMA, WA
NPI
1851474704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA AP30007200)
Enumeration Date
2006-10-23
Last Update Date
2014-07-28
Business Address
-- LISA A VICKERS ARNP
1450 N 16TH AVE STE 102
YAKIMA, WA 98902-1381
Phone number: 509-249-0105
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Mailing Address
-- LISA A VICKERS ARNP
1450 N 16TH AVE STE 102
YAKIMA, WA 98902-1381
Phone number: 509-249-0105
Copy
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