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Individual

DR. MICHELLE LYNN DAVIDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
7538 SE FRAGARIA RD, OLALLA, WA 98359-9604
(253) 857-2259
Mailing address
PO BOX 1030, OLALLA, WA 98359-1030
(253) 857-2259

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034731
WA

Other

Enumeration date
05/02/2007
Last updated
07/08/2007
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