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1003406661
MATTHEW LIBID
TACOMA, WA
NPI
1003406661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WA 61444170)
Enumeration Date
2021-01-19
Last Update Date
2024-03-14
Business Address
MATTHEW LIBID CRNA
9040 JACKSON AVE
TACOMA, WA 98431-4292
Phone number: 203-768-5053
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Mailing Address
MATTHEW LIBID CRNA
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 203-768-5053
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