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Individual

MRS. DEBORAH SUZANNE OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1805 E DIVISION ST, MOUNT VERNON, WA 98274-4632
(360) 848-1744
(360) 848-0583
Mailing address
164 LIMESTONE POINT RD, FRIDAY HARBOR, WA 98250-6961
(360) 378-7765

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30005588
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
75537
BLUE SHIELD
WA
01
7952259
AETNA
WA
05
9627902
WA
Enumeration date
04/25/2006
Last updated
10/12/2017
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