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Individual

DR. MARILYNN G CARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
716 E MANITOBA AVE, ELLENSBURG, WA 98926-3842
(509) 925-3151
Mailing address
716 E MANITOBA AVE, ELLENSBURG, WA 98926-3842
(509) 925-3151

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
252090026640
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8119299
WA
Enumeration date
03/17/2006
Last updated
07/08/2007
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