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Individual
GEORGIA ANN MOHLER
Active
Individual
GEORGIA ANN MOHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP 30001221
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180343
L&I
WA
05
—
9639923
—
WA
01
—
P00068570
RR MEDICARE
WA
Enumeration date
08/25/2005
Last updated
03/19/2010
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