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Individual

SUSAN ANITA COLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
17641 153RD WAY SE, YELM, WA 98597-9153
(360) 480-0056
Mailing address
17641 153RD WAY SE, YELM, WA 98597-9153
(360) 480-0056

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60332834
WA

Other

Enumeration date
01/29/2015
Last updated
01/29/2015
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