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Individual

MRS. ELLEN M EAKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
10501 NE HIGHWAY 99 STE 23, VANCOUVER, WA 98686-5698
(360) 573-9669
Mailing address
11317 NE 27TH AVE, VANCOUVER, WA 98686-4203
(360) 931-1824

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00021684
WA

Other

Enumeration date
12/27/2006
Last updated
07/08/2007
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