Organization
PURE GRACE HEALTH CLINIC AND URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABISOLA ONASHILE (OWNER)
(360) 200-1696
Entity
Organization
Contact information
Practice address
1106 COLUMBIA AVE STE 125, MARYSVILLE, WA 98270-4343
(360) 200-1696
(360) 972-7269
Mailing address
1106 COLUMBIA AVE STE 125, MARYSVILLE, WA 98270-4343
(360) 200-1696
(360) 972-7269
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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