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Individual

DR. MAURENE P CRONYN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
21911 76TH AVE W, #110, EDMONDS, WA 98026-7903
(425) 640-4950
(425) 640-4958
Mailing address
21911 76TH AVE W, #110, EDMONDS, WA 98026-7903
(425) 640-4950
(425) 640-4958

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00020736
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1090976
WA
01
R06641
REGENCE BLUE SHIELD
WA
Enumeration date
05/15/2006
Last updated
03/18/2010
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