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Individual

MARY FRANCES BAVARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 848-4150
(360) 848-4169
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 848-4150
(360) 848-4169

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
G79958
CA
207RI0200X
Infectious Disease Physician
Primary
MD60961160
WA

Other

Enumeration date
01/30/2006
Last updated
10/25/2021
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