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Individual

CORINTHIAN KUPPLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5220 NE HAZEL DELL AVE, VANCOUVER, WA 98663-1242
(360) 693-1474
Mailing address
5220 NE HAZEL DELL AVE, VANCOUVER, WA 98663-1242
(360) 693-1474

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61266231
WA

Other

Enumeration date
02/20/2023
Last updated
02/20/2023
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