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Individual

MISTY L CLOPOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
307 S 13TH ST STE 200, MOUNT VERNON, WA 98274-4100
(360) 848-8500
Mailing address
27202 96TH AVE NW, STANWOOD, WA 98292-8011
(425) 330-1360

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN60504691
WA

Other

Enumeration date
11/22/2023
Last updated
11/22/2023
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