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Individual

CARA JEAN MORI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
15027 AURORA AVE N, SHORELINE, WA 98133-6134
(206) 362-3520
(206) 362-3521
Mailing address
15027 AURORA AVE N, SHORELINE, WA 98133-6134
(206) 362-3520
(206) 362-3521

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60035084
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA60035084
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
05/29/2009
Last updated
05/29/2009
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