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Individual

APHTON MARIE KIRSCHBAUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
7132 34TH AVE NE, LACEY, WA 98516-1407
(360) 480-3814
Mailing address
7132 34TH AVE NE, LACEY, WA 98516-1407
(360) 480-3814

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60088676
WA

Other

Enumeration date
08/08/2009
Last updated
08/08/2009
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