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WILLJORT MOLJNER LEISHOLMN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
16715 AURORA AVE N, SUITE 102, SHORELINE, WA 98133-5310
(206) 546-9766
(206) 542-0326
Mailing address
16715 AURORA AVE N, SUITE 102, SHORELINE, WA 98133-5310
(206) 546-9766
(206) 542-0326

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN60106977
WA

Other

Enumeration date
10/07/2016
Last updated
10/07/2016
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