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Individual

ALEXANDER CORBITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
510 STATE AVE NE UNIT 102B, OLYMPIA, WA 98501-1175
(678) 634-9694
Mailing address
2075 N CAMBRIDGE AVE APT 203, MILWAUKEE, WI 53202-0015
(678) 634-9694

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN250862
GA
163W00000X
Registered Nurse
RN60768328
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61317489
WA

Other

Enumeration date
04/12/2022
Last updated
02/22/2024
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