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Individual

KYLE DANIELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPH, NP

Contact information

Practice address
1355 N 205TH ST, SHORELINE, WA 98133-3215
(206) 542-5656
Mailing address
1355 N 205TH ST, SHORELINE, WA 98133-3215

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60756633
WA

Other

Enumeration date
03/08/2019
Last updated
03/08/2019
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