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1164131462
ELISA GAULT
TACOMA, WA
NPI
1164131462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP61347693)
Enumeration Date
2022-11-16
Last Update Date
2022-11-16
Business Address
ELISA GAULT ARNP
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4234
Phone number: 253-403-1000
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Mailing Address
ELISA GAULT ARNP
5140 SINCLAIR WAY
BREMERTON, WA 98312-4679
Phone number:
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