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1043666027
CHAMPA EANES
TACOMA, WA
NPI
1043666027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP60209757)
Enumeration Date
2016-05-10
Last Update Date
2016-05-10
Business Address
CHAMPA EANES LPN
9040 JACKSON AVE
TACOMA, WA 98433
Phone number: 253-968-0842
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Mailing Address
CHAMPA EANES LPN
2218 BOBS HOLLOW LN
DUPONT, WA 98327-8788
Phone number: 503-309-7710
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