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Individual

DR. P LAURINE MARCINKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
92ND MEDICAL GROUP, 200 N. CHENNAULT STE 100, FAIRCHILD AFB, WA 99011
(509) 247-2731
(509) 247-4499
Mailing address
92ND MEDICAL GROUP, 200 N. CHENNAULT STE 100, FAIRCHILD AFB, WA 99011
(509) 247-2731
(509) 247-4499

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00002434
WA

Other

Enumeration date
11/22/2005
Last updated
07/08/2007
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