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Individual

DIANE G HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
3501 SHELBY RD STE C, LYNNWOOD, WA 98087-3599
(425) 745-9052
(425) 745-3372
Mailing address
3501 SHELBY RD SUITE C, LYNNWOOD, WA 98087
(425) 745-9052
(425) 745-3372

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00017914
WA

Other

Enumeration date
05/15/2007
Last updated
07/08/2007
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