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Individual

SUNDAY THURSTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
19221 90TH PL NE, BOTHELL, WA 98011-2253
(206) 650-3077
Mailing address
19221 90TH PL NE, BOTHELL, WA 98011-2253

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00049245
WA

Other

Enumeration date
03/31/2017
Last updated
03/31/2017
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