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Individual

STEVE CAMAGONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
505 WASHINGTON AVE S, KENT, WA 98032-5709
(253) 833-7444
Mailing address
325 W GOWE ST, KENT, WA 98032-5892
(253) 833-7444
(253) 661-8631

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60311719
WA
164W00000X
Licensed Practical Nurse
Primary
LPN.LP.60311719
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2121366
WA
Enumeration date
01/24/2019
Last updated
07/29/2026
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