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Individual

ONA CAROLYN ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
115 SUNNYSIDE AVE, GRANGER, WA 98932
(509) 865-6450
(509) 854-1919
Mailing address
115 SUNNYSIDE AVE, GRANGER, WA 98932
(509) 865-6450
(509) 854-1919

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30004237
WA
363L00000X
Nurse Practitioner
OR081047211N3
OR
363L00000X
Nurse Practitioner
RN00062564
WA

Other

Enumeration date
08/25/2006
Last updated
02/27/2017
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