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Individual
MARY LOU MURPHY
Active
Individual
MARY LOU MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004355
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8453052
—
WA
01
—
PA10004355
STATE LICENSE
WA
Enumeration date
07/05/2006
Last updated
10/21/2019
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