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Individual

MRS. KATIE MARIE NORMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
8304 GUIDE MERIDIAN RD, LYNDEN, WA 98264-9151
(360) 739-1292
Mailing address
PO BOX 570, LYNDEN, WA 98264-0570
(360) 739-1292

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 00019951
WA

Other

Enumeration date
01/12/2012
Last updated
01/12/2012
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