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Individual

MRS. TERI GAYLE MITSCHELEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
520 W. INDIAN AVE, BREWSTER, WA 98812
(509) 689-4000
(509) 689-3906
Mailing address
P.O. BOX 220, BREWSTER, WA 98812
(509) 689-4000
(509) 689-3906

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN00106951
WA

Other

Enumeration date
10/11/2012
Last updated
04/18/2013
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