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Individual
SUSAN J JOUFLAS
Active
Individual
SUSAN J JOUFLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003336
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0129371
STATE L&I
WA
05
—
8321580
—
WA
01
—
8933735
STATE CRIME VICTIMS
WA
Enumeration date
11/03/2006
Last updated
08/01/2012
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