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Individual
MR. KEVIN NORMAN PROBST
Active
Individual
MR. KEVIN NORMAN PROBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
000038096N3
OR
363LA2200X
Adult Health Nurse Practitioner
AP30005823
WA
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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