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Individual
OLINDA SU MAR
Active
Individual
OLINDA SU MAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95009685
CA
363L00000X
Nurse Practitioner
AP30006664
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0223131
L&I
WA
05
—
1003868316
—
WA
Enumeration date
05/16/2006
Last updated
10/26/2018
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