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1144057761
TRACEY MABEL KHATIERA
PULLMAN, WA
NPI
1144057761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: WA HM61106291)
Enumeration Date
2024-09-17
Last Update Date
2024-09-17
Business Address
TRACEY MABEL KHATIERA
1460 SW PANORAMA DR
PULLMAN, WA 99163-7301
Phone number: 413-262-4360
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Mailing Address
TRACEY MABEL KHATIERA
1460 SW PANORAMA DR
PULLMAN, WA 99163-7301
Phone number: 413-262-4360
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