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Individual

LINDA LEE NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSPA, CCC-A

Contact information

Practice address
601 N MAIN ST, SUITE 1, ELLENSBURG, WA 98926-6305
(509) 962-9575
(509) 962-5575
Mailing address
601 N MAIN ST, SUITE 1, ELLENSBURG, WA 98926-6305
(509) 962-9575
(509) 962-5575

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
LD00001068
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5100/9772
GROUP HEALTH COOPERATIVE
WA
05
7061534
WA
05
9038514
WA
01
NE1748
REGENCE BLUESHIELD
WA
Enumeration date
10/10/2006
Last updated
02/04/2015
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