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Individual

CORALYN JILL ALEXANDER

Active
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Individual

CORALYN JILL ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PA

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
M6940
ID
2084P0800X
Psychiatry Physician
Primary
MD00029741
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10001359
BLUESHIELD
ID
05
804004500
ID
01
DE757
BLUECROSS
ID
Enumeration date
10/11/2005
Last updated
08/29/2023
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