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Individual

MS. JESSICA R DENNISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN BSN

Contact information

Practice address
19 LAKES STREET, NESPELEM, WA 99155
(509) 634-2900
Mailing address
PO BOX 71, NESPELEM, WA 99155-0071

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
258165
NC

Other

Enumeration date
09/13/2018
Last updated
09/13/2018
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