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Individual

REBECCA S CORLEY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
777 N 5TH AVE, SUITE 103, SEQUIM, WA 98382-3080
(360) 582-2840
(360) 582-2846
Mailing address
777 N 5TH AVE, SUITE 103, SEQUIM, WA 98382-3080
(360) 582-2840
(360) 582-2846

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00025209
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8130288
WA
Enumeration date
07/19/2005
Last updated
07/08/2007
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