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1104079615
FRANCES ROSE SOUTHALL
TACOMA, WA
NPI
1104079615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: WA MA00014272)
Enumeration Date
2008-10-28
Last Update Date
2008-10-28
Business Address
-- FRANCES ROSE SOUTHALL LMP
6240 TACOMA MALL BLVD SUITE 104
TACOMA, WA 98409-6819
Phone number: 253-474-3569
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Mailing Address
-- FRANCES ROSE SOUTHALL LMP
6240 TACOMA MALL BLVD SUITE 104
TACOMA, WA 98409-6819
Phone number: 253-474-3569
Copy
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