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1073785127
WANDA EALEY
LAKEWOOD, WA
NPI
1073785127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN LPN0000049199)
Enumeration Date
2008-03-28
Last Update Date
2008-03-28
Business Address
WANDA EALEY
10804 BRIAR RD SW
LAKEWOOD, WA 98499-2237
Phone number: 253-589-1554
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Mailing Address
WANDA EALEY
10804 BRIAR RD SW
LAKEWOOD, WA 98499-2237
Phone number: 253-589-1554
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