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Individual

DEMY TABANGCURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 487-1000
Mailing address
13404 NW 55TH AVE, VANCOUVER, WA 98685-1373
(909) 270-8220

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
58534
CA
363A00000X
Physician Assistant
Primary
PA61561413
WA
363A00000X
Physician Assistant

Other

Enumeration date
06/24/2020
Last updated
03/09/2025
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