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Individual
MS. SONYA A COTTRELL
Active
Individual
MS. SONYA A COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004726
WA
363AM0700X
Medical Physician Assistant
PA10004726
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0192968
LABOR AND INDUSTRIES
WA
01
—
3908CO
REGENCE RIDER
WA
05
—
8410540
—
WA
01
—
P00220748
MEDICARE RAIL ROAD
WA
Enumeration date
06/04/2006
Last updated
01/25/2016
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