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Individual

BETHANY LOUISE HORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3900 CAPITAL MALL DR SW, OLYMPIA, WA 98502-8654
(607) 066-2093
(360) 704-4751
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
5934
CT
363AM0700X
Medical Physician Assistant
6139
CO
363AM0700X
Medical Physician Assistant
Primary
PA61563479
WA

Other

Enumeration date
01/09/2020
Last updated
09/16/2024
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