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1174090013
PAUL TIMOTHY DALEY
TACOMA, WA
NPI
1174090013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP00046370)
Enumeration Date
2018-10-29
Last Update Date
2022-07-08
Business Address
PAUL TIMOTHY DALEY LICENSED NURSE
3629 S D ST
TACOMA, WA 98418-6813
Phone number: 253-649-1406
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Mailing Address
PAUL TIMOTHY DALEY LICENSED NURSE
7501 YAKIMA AVE
TACOMA, WA 98408-5432
Phone number: 206-405-0603
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