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1184382756
MYRTLE VIRGINIA ANTONIO
TACOMA, WA
NPI
1184382756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2021-12-01
Last Update Date
2021-12-01
Business Address
MYRTLE VIRGINIA ANTONIO
6413 S 12TH ST APT 1518
TACOMA, WA 98465-1985
Phone number: 253-258-2352
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Mailing Address
MYRTLE VIRGINIA ANTONIO
6413 S 12TH ST APT 1518
TACOMA, WA 98465-1985
Phone number: 253-258-2352
Copy
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