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Individual

MR. RUSSELL KIRBY HIGBIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CDP

Contact information

Practice address
17500 SE 392ND ST, AUBURN, WA 98092-9705
(253) 939-6648
(253) 887-8737
Mailing address
17500 SE 392ND ST, AUBURN, WA 98092-9705
(253) 939-6648
(253) 887-8737

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
00004991
WA

Other

Enumeration date
10/03/2012
Last updated
10/03/2012
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