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Individual

MS. MADELEINE DEGRASSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1580 NE COUGAR WAY, 265, COLEMAN, WA 99163
(509) 901-8657
Mailing address
4212 BARGE ST, YAKIMA, WA 98908-3238

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
12/01/2017
Last updated
09/29/2020
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