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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prison Health |
261QP2400X |
| NPI Number | 1750672572 |
| LBN Legal business name | WASHINGTON STATE DEPARTMENT OF CORRECTIONS- CEDAR CREEK CORRECTIONS CE |
| Authorized official | MARYANN CURL - (CHIEF MEDICAL OFFICER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 04/27/2011 |
| Last updated | 09/23/2024 - More than a year ago |
| Identifiers | n/a |
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