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Individual

JACQUELINE M BASSETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
12606 E MISSION AVE, SPOKANE VALLEY, WA 99216-3421
(509) 473-5478
Mailing address
13804 N EAST NEWMAN LAKE DR, NEWMAN LAKE, WA 99025-8422
(208) 661-1180

Taxonomy

Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
60069399
WA

Other

Enumeration date
08/14/2014
Last updated
08/14/2014
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