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Cmn Surgical Pllc

NPI Registration Record

Provider / OrganizationNPIDate Certified
CMN SURGICAL PLLC13963507652020-09-12
Entity TypeOrganization
Provider OrganizationCMN SURGICAL PLLC
Practice Office Address145 LILLY RD NE STE 101
OLYMPIA, WA US
Practice Office Telephone3608789300
Practice Office Fax3608789666
Mailing Address145 LILLY RD NE STE 101
OLYMPIA, WA 985065028 US
Business Telephone3608789300
Business Fax3608789666
Authorized OfficialCHRISTOPHER M NICHOLS, OWNER
3608789300
HPT Codes
CodeLicense NoState
261QA1903X PRIMARY
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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