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1033199559
LISA ANN PETTY
TACOMA, WA
NPI
1033199559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 107635)
Enumeration Date
2006-01-19
Last Update Date
2019-07-10
Business Address
Ms. LISA ANN PETTY CRNA
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-2252
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Mailing Address
Ms. LISA ANN PETTY CRNA
MADIGAN ARMY MEDICAL CENTER 9040 REID ST., ATTN: MCHJ-QCR
TACOMA, WA 98431-0001
Phone number: 253-968-2252
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