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Individual

SUSAN DENISSE LUPIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
418 RAYBIRD AVE, GRANITE FALLS, WA 98252-8655
(425) 229-9444
Mailing address
418 RAYBIRD AVE, GRANITE FALLS, WA 98252-8655
(425) 229-9444

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC55038
WA

Other

Enumeration date
03/24/2021
Last updated
03/24/2021
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