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Individual

MARY JANE FLEMING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(920) 858-7178
Mailing address
314 E WATER ST, RIPON, WI 54971-1556
(920) 858-7178

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
WI
163WE0003X
Emergency Registered Nurse
Primary
RN00173305
WA

Other

Enumeration date
09/19/2007
Last updated
09/19/2007
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