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Individual

MISTY C.A.P. WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
255 S 1ST ST, SAINT HELENS, OR 97051-2003
(503) 366-8084
Mailing address
255 S 1ST ST, SAINT HELENS, OR 97051-2003
(503) 366-8084

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12649
OR

Other

Enumeration date
01/16/2009
Last updated
01/16/2009
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