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Individual

ROBERT BRIAN NOONAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
4422 6TH AVE SE, LACEY, WA 98503-1020
(360) 704-7170
(360) 709-4374
Mailing address
3857 MARTIN WAY E, OLYMPIA, WA 98506-5268
(360) 704-7170
(360) 709-4374

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
AP30007939
WA

Other

Enumeration date
12/03/2007
Last updated
08/11/2010
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