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Individual
MS. MARY KAY GRAVES
Active
Individual
MS. MARY KAY GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
324759
CA
363L00000X
Nurse Practitioner
Primary
AP60325370
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2030249
—
WA
Enumeration date
10/17/2006
Last updated
09/01/2015
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