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Organization

JULIE A DYBBRO ARNP LLC

Active
Other names
Complete Women's Health Care
Organization subpart
No

Provider details

NPI number
Authorized official
AMY KUNKEL (MANAGER)
(360) 754-9409
Entity
Organization

Contact information

Practice address
200 LILLY RD NE, STE B2, OLYMPIA, WA 98506-5427
(360) 754-9409
(360) 438-6760
Mailing address
200 LILLY RD NE, STE B2, OLYMPIA, WA 98506-5427
(360) 754-9409
(360) 438-6760

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30001995
WA
363LF0000X
Family Nurse Practitioner
AP30004521
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9617192
WA
05
9624750
WA
01
DH2034
RRM
WA
Enumeration date
06/21/2007
Last updated
03/17/2009
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