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Individual

MARGARET DE LA VERGNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(360) 418-6001
Mailing address
1630 SW CLAY ST APT 8A, PORTLAND, OR 97201-6052
(425) 503-9228

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
61115079
WA

Other

Enumeration date
03/25/2021
Last updated
03/25/2021
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