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Individual

MIKKY DEAN BARNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DCPS

Contact information

Practice address
9806 270TH ST NW #C, STANWOOD, WA 98292-0220
(360) 629-2410
Mailing address
PO BOX 220, STANWOOD, WA 98292-0220
(360) 629-2410

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1730
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2097400
WA
Enumeration date
04/27/2007
Last updated
07/08/2007
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