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MARYS CORNER MEDICAL CLINIC INC PS

Family Medicine Physician

NPI: 1194973628Organization

Specialties, Licenses & Credentials

Family Medicine

Code: 207Q00000X

MD00039760(WA)OP00000823(WA)

Clinic/Center — Rural Health

Code: 261QR1300X

OP00000823(WA)MD00039760(WA)AP30005675(WA)PA0004588(WA)

Physician Assistant — Medical

Code: 363AM0700X

PA10004588(WA)

Nurse Practitioner — Family

Code: 363LF0000X

AP30005675(WA)

Contact & Hours

Address
4254 JACKSON HWY
CHEHALIS, WA 98532

Quick Facts

NPI
1194973628
Entity Type
Organization
Medicare
Not confirmed
Specialties
8
Locations
1

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