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1104281526
KIMBERLY DESTEFANO
KENT, WA
NPI
1104281526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP00045273)
Enumeration Date
2015-12-30
Last Update Date
2015-12-30
Business Address
-- KIMBERLY DESTEFANO
27446 151ST PL SE
KENT, WA 98042
Phone number: 509-945-8288
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Mailing Address
-- KIMBERLY DESTEFANO
27446 151ST PL SE
KENT, WA 98042
Phone number: 509-945-8288
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