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1861904104
LISA C LUITEN
COLVILLE, WA
NPI
1861904104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: WA RN00064255)
Enumeration Date
2017-10-26
Last Update Date
2017-10-26
Business Address
LISA C LUITEN
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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Mailing Address
LISA C LUITEN
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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