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Individual
PHIROCE ISHAQUE
Active
Individual
PHIROCE ISHAQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP 30006491
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0177954
L&I
WA
05
—
9638206
—
WA
01
—
P00081924
RR MEDICARE
WA
Enumeration date
08/23/2005
Last updated
03/18/2010
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