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Individual
SUZANNE M. GAGNET
Active
Individual
SUZANNE M. GAGNET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00079803
WA
363L00000X
Nurse Practitioner
Primary
AP30003217
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0215328
L&I
WA
05
—
1649247768
—
WA
Enumeration date
03/07/2006
Last updated
12/17/2013
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