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Individual

DONNA VANGRIMBERGEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13820 19TH AVE NE, TULALIP, WA 98271-6706
(425) 238-3643
Mailing address
5168 STATE ROUTE 9, SEDRO WOOLLEY, WA 98284-8267
(360) 320-7498

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60274888
WA

Other

Enumeration date
09/14/2020
Last updated
09/14/2020
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