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1164106548
RANDI LYNNE SMALL
PUYALLUP, WA
NPI
1164106548
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Former Name
RANDI GIBSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP61440380)
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
RANDI LYNNE SMALL ARNP
401 15TH AVE SE
PUYALLUP, WA 98372-3715
Phone number: 253-697-4000
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Mailing Address
RANDI LYNNE SMALL ARNP
PO BOX 5299
TACOMA, WA 98415-0299
Phone number: 253-459-8231
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