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1174051197
MATTHEW NUTTALL
TACOMA, WA
NPI
1174051197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA 60750254)
Enumeration Date
2017-06-03
Last Update Date
2017-06-03
Business Address
MATTHEW NUTTALL
2501 N PEARL ST
TACOMA, WA 98406-2540
Phone number: 253-752-6349
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Mailing Address
MATTHEW NUTTALL
5908 63RD AVENUE CT NW
GIG HARBOR, WA 98335-7388
Phone number:
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