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Individual

JESSICA BLUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1601 AVENUE D, SNOHOMISH, WA 98290-1718
(360) 563-7264
(360) 563-7303
Mailing address
1601 AVENUE D, SNOHOMISH, WA 98290-1718
(360) 563-7264
(360) 563-7303

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60312905
WA

Other

Enumeration date
02/20/2013
Last updated
02/20/2013
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