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Individual

MRS. STELLA DELORES DOLGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.R.N.P.

Contact information

Practice address
529 JASMINE ST, OMAK, WA 98841-9589
(509) 826-1600
(509) 826-3633
Mailing address
PO BOX 3188, OMAK, WA 98841-3188
(509) 826-1600
(509) 826-3633

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP30000641
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0176650
WORKERS COMPENSATION
WA
01
8931002
CRIME VICTIM COMPENSATION
WA
05
9638859
WA
Enumeration date
05/12/2006
Last updated
12/05/2012
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