Provider Information for 1538512298
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MARIE DEMERS
Sex: Female
NPI: 1538512298
Last Updated: 2019-02-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1538512298 | ||||||||||||
| Enumeration Date | 2016-07-18 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 2605 YAKIMA, WA 98907-2605 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 12 S 8TH ST YAKIMA, WA 98901-3020 United States Phone: 509-454-4143 | Fax: | ||||||||||||
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