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Individual

MARINA KAZULIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2505 2ND AVE, SEATTLE, WA 98121-1452
(206) 443-0400
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60644787
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033565825
WA
Enumeration date
05/11/2016
Last updated
10/23/2017
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