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Individual

SUSAN ALEXIS KHALEGHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
18775 PINE CONE DR, LEAVENWORTH, WA 98826-9224
(360) 561-6680
Mailing address
18775 PINE CONE DR, LEAVENWORTH, WA 98826-9224

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61456036
WA

Other

Enumeration date
09/21/2023
Last updated
09/21/2023
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