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1003563057
COURTNEY LAVIN
TACOMA, WA
NPI
1003563057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: NE 36177)
Enumeration Date
2022-03-08
Last Update Date
2024-03-17
Business Address
COURTNEY LAVIN
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-1790
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Mailing Address
COURTNEY LAVIN
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-1790
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