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Individual

ALENA MAZURINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4555 NE 66TH AVE, VANCOUVER, WA 98661-3181
(360) 314-6000
Mailing address
2210 W MAIN ST, STE 107, #314, BATTLE GROUND, WA 98604-4232
(360) 314-6000

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60869341
WA

Other

Enumeration date
06/26/2019
Last updated
06/26/2019
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