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Individual

STEPHANIE LYNN BERMUDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
201 LILA LN, BURLINGTON, WA 98233-3320
(360) 757-7738
Mailing address
201 LILA LN, BURLINGTON, WA 98233-3320
(360) 757-7738

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60673495
WA

Other

Enumeration date
08/07/2018
Last updated
08/07/2018
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