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Individual

MAIMOUNA SOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3634 I ST NE, APT N102, AUBURN, WA 98002
(469) 554-6744
Mailing address
522 W RIVERSIDE AVE STE N, SPOKANE, WA 99201-0580
(469) 554-6744

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1000182
TX

Other

Enumeration date
08/01/2020
Last updated
09/30/2021
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