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Individual

BRITTANY L CONNELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1718 E KESSLER BLVD, LONGVIEW, WA 98632-1842
(360) 747-5800
(360) 575-3846
Mailing address
5318 NE 114TH ST, VANCOUVER, WA 98686-4529
(360) 989-5408

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-2202
ID
363A00000X
Physician Assistant
Primary
PA61308534
WA

Other

Enumeration date
01/17/2022
Last updated
07/14/2022
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