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Individual

MICHELE LYNN HENSEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
6513 W CHESTNUT AVE, YAKIMA, WA 98908-1746
(509) 833-6373
Mailing address
4704 FECHTER RD, YAKIMA, WA 98908-2437
(509) 833-6373

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
129462
WA
374700000X
Technician
B129462
WA

Other

Enumeration date
12/21/2012
Last updated
12/21/2012
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