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1952753717
REGINA MARIE DAVIS
LIBERTY LAKE, WA
NPI
1952753717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: WA 60654992)
Enumeration Date
2016-07-05
Last Update Date
2019-03-19
Business Address
REGINA MARIE DAVIS PMHNP
23403 E MISSION AVE STE 200I
LIBERTY LAKE, WA 99019-7575
Phone number: 509-992-4224
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Mailing Address
REGINA MARIE DAVIS PMHNP
PO BOX 333
LIBERTY LAKE, WA 99019-0333
Phone number:
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