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Individual

MYRNA NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1610 GROVER ST STE B2, LYNDEN, WA 98264-1539
(360) 354-5245
(360) 354-7796
Mailing address
1610 GROVER ST STE B2, LYNDEN, WA 98264-1539
(360) 354-5245
(360) 354-7796

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160067882
WA

Other

Enumeration date
07/07/2015
Last updated
07/07/2015
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