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1174065221
TIFFANY GOTA
PUYALLUP, WA
NPI
1174065221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174H00000X Health Educator
(Licence: WA 1108782)
Enumeration Date
2016-11-07
Last Update Date
2016-11-07
Business Address
-- TIFFANY GOTA
3712 9TH ST SW
PUYALLUP, WA 98373-3564
Phone number: 253-227-4899
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Mailing Address
-- TIFFANY GOTA
3712 9TH ST SW
PUYALLUP, WA 98373-3564
Phone number: 253-227-4899
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