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Individual

NICOLE MARIE BARNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
109 SE 101ST AVE, VANCOUVER, WA 98664-3907
(360) 256-6748
Mailing address
3117 NE 62ND AVE, APT. I, VANCOUVER, WA 98661-0206

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MA60183751
WA

Other

Enumeration date
03/10/2011
Last updated
03/10/2011
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