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Individual

JESSUP WOLNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
325 9TH AVE, BOX 359724, SEATTLE, WA 98104-2420
(206) 744-8491
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN00142863
WA

Other

Enumeration date
11/15/2013
Last updated
11/15/2013
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