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Individual
CAROL L FROMHART
Active
Individual
CAROL L FROMHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003451
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0185008
LIWA
WA
01
—
0215350
LIWA
WA
01
—
1186FR
BSWA
WA
01
—
157224
LABOR & INDUSTRIES
WA
01
—
2268FR
BSWA
WA
01
—
7066277
DSHS
WA
01
—
797FR
REGENCE
WA
05
—
8323792
—
WA
Enumeration date
01/06/2006
Last updated
11/21/2011
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