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Individual
JOEL A MECKSTROTH
Active
Individual
JOEL A MECKSTROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
AP30004883
WA
363L00000X
Nurse Practitioner
Primary
AP30004883
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263703
LABOR & INDUSTRIES
WA
05
—
9627555
—
WA
Enumeration date
06/24/2006
Last updated
02/20/2014
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