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Individual

NICOLE MARIE DONOVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LM

Contact information

Practice address
13128 TOTEM LAKE BLVD NE STE 101, KIRKLAND, WA 98034-2953
(425) 823-1919
Mailing address
20115 75TH AVE NE, KENMORE, WA 98028-2012
(206) 478-1771

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW 60066915
WA

Other

Enumeration date
12/08/2009
Last updated
12/08/2009
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