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1174974166
JACKIE TARANGO
LONGVIEW, WA
NPI
1174974166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WA RN60075288)
Enumeration Date
2016-06-30
Last Update Date
2016-06-30
Business Address
-- JACKIE TARANGO RN
842 CLARK ST
LONGVIEW, WA 98632-4625
Phone number: 360-606-3482
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Mailing Address
-- JACKIE TARANGO RN
PO BOX 2376
LONGVIEW, WA 98632-8441
Phone number: 360-606-3482
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