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Individual
DEANNA LEA WAY
Active
Individual
DEANNA LEA WAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
090007472RN
OR
163W00000X
Registered Nurse
RN00162526
WA
Other
Enumeration date
05/21/2016
Last updated
05/21/2016
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