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Individual

NICOLE MARIE KURNIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
50461
AZ
208200000X
Plastic Surgery Physician
MD60927138
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1225326127
WA
Enumeration date
07/13/2011
Last updated
12/09/2020
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