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Individual
MAUREEN BATTERBERRY
Active
Individual
MAUREEN BATTERBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003763
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0189524
LIWA
WA
01
—
3451MC
BSWA
WA
01
—
5614BA
BLUE SHIELD # VM
WA
05
—
8325466
—
WA
Enumeration date
05/04/2006
Last updated
08/25/2008
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