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Organization
BLADDER-WORKS, INC.
Active
Organization
BLADDER-WORKS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY JAYNE MABREY JOHNSON PHD, ARNP (PRESIDENT)
(509) 590-9622
Entity
Organization
Contact information
Practice address
4913 N MAPLE ST, SPOKANE, WA 99205-5521
(509) 590-9622
(509) 325-0492
Mailing address
4913 N MAPLE ST, SPOKANE, WA 99205-5521
(509) 590-9622
(509) 325-0492
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30007476
WA
Other
Enumeration date
06/06/2007
Last updated
01/02/2008
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