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1184720344
LISA KONITZER
TACOMA, WA
NPI
1184720344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CO 8240)
Enumeration Date
2006-09-15
Last Update Date
2007-07-08
Business Address
-- LISA KONITZER MPT
MAMC
TACOMA, WA 98431
Phone number: 253-968-0780
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Mailing Address
-- LISA KONITZER MPT
1001 1ST STREET
STEILACOOM, WA 98388
Phone number:
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