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1154802932
KELLY SU WHITE
TACOMA, WA
NPI
1154802932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WA 60762936)
Enumeration Date
2018-08-28
Last Update Date
2018-08-28
Business Address
KELLY SU WHITE RN
9040 JACKSON AVE ATTN: MCHJ-CLQ-C
TACOMA, WA 98431
Phone number: 253-968-1110
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Mailing Address
KELLY SU WHITE RN
9040 JACKSON AVE ATTN: MCHJ-CLQ-C
TACOMA, WA 98431-1100
Phone number:
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