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Individual

MARY-COLLEEN D. ZUCCONI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
200 NE MOTHER JOSEPH PL STE 110, VANCOUVER, WA 98664
(360) 254-6161
(360) 449-1146
Mailing address
200 NE MOTHER JOSEPH PL STE 210, VANCOUVER, WA 98664-3295
(360) 254-6161

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA152984
OR
363AS0400X
Surgical Physician Assistant
Primary
PA60404649
WA

Other

Enumeration date
04/27/2009
Last updated
08/07/2018
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