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Individual

EDITH ISBEL NORIEGA CORNEJO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 WALLACE WAY, GRANDVIEW, WA 98930-8805
(509) 882-8918
Mailing address
1001 MOHAR RD, GRANDVIEW, WA 98930-9638
(509) 643-9810

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
12/19/2022
Last updated
12/19/2022
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