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MIMIKA E GAINACOPULOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664
(360) 882-2778
(360) 604-1753
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 882-2778
(360) 604-1771

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP60306572
WA

Other

Enumeration date
08/15/2012
Last updated
08/06/2018
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