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Individual
ERIN N KHOURY
Active
Individual
ERIN N KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA01423
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649231259
—
WA
05
—
500614413
—
OR
Enumeration date
03/31/2006
Last updated
06/24/2010
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