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1104330588
GWEN MARIE DEMAREST
KENT, WA
NPI
1104330588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA lp60452384)
Enumeration Date
2017-11-21
Last Update Date
2017-11-21
Business Address
GWEN MARIE DEMAREST
26630 40TH AVE S
KENT, WA 98032-7017
Phone number: 253-945-5100
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Mailing Address
GWEN MARIE DEMAREST
2008 N CEDAR ST
TACOMA, WA 98406-6636
Phone number: 253-495-1915
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