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Individual

MS. PRISCILLA DEGRAFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
203 S. WESTERN AVENUE, TONASKET, WA 98855-8803
(509) 486-3107
(509) 486-3119
Mailing address
203 S. WESTERN AVENUE, TONASKET, WA 98855-8803
(509) 486-3107
(509) 486-3119

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30002576
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0224734
L&I
WA
05
9607540
WA
Enumeration date
01/06/2006
Last updated
08/13/2010
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