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1104380120
MYRIAM MAMPENGU
LAKEWOOD, WA
NPI
1104380120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WA 60922600)
Enumeration Date
2019-01-23
Last Update Date
2019-01-23
Business Address
MYRIAM MAMPENGU
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499-2727
Phone number: 253-263-3221
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Mailing Address
MYRIAM MAMPENGU
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499-2727
Phone number:
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