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1063879419
ANDREW JAMES WILDASIN
TACOMA, WA
NPI
1063879419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 327772)
Enumeration Date
2016-01-15
Last Update Date
2016-01-15
Business Address
-- ANDREW JAMES WILDASIN LPN
9040 REID STREET, ATTN: MCHJ-CLQ-C MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431-1000
Phone number: 253-968-1110
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Mailing Address
-- ANDREW JAMES WILDASIN LPN
9040 REID STREET, ATTN: MCHJ-CLQ-C MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431-1000
Phone number: 253-968-1110
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