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Individual

DEBORAH EMDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
2017 CONTINENTAL PL STE 1, MOUNT VERNON, WA 98273-5649
(360) 424-3900
Mailing address
2017 CONTINENTAL PL STE 1, MOUNT VERNON, WA 98273-5649
(360) 424-3900

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00017514
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0165369
L & I
WA
Enumeration date
12/01/2009
Last updated
12/01/2009
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