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Individual

OLIVIA P WASHINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
43 GOES IN LODGE ROAD, RIVERTON, WY 82501
(307) 851-8351
(307) 332-0131
Mailing address
43 GOES IN LODGE ROAD, RIVERTON, WY 82501-0000
(307) 851-8351
(307) 332-0131

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
32495
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105726000
WY
Enumeration date
09/04/2013
Last updated
09/04/2013
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