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1184995417
MEGHAN MICHELLE ELLIS
TACOMA, WA
NPI
1184995417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: WA MA00021996)
Enumeration Date
2012-01-18
Last Update Date
2012-01-18
Business Address
MEGHAN MICHELLE ELLIS LMP, CPMT
3819 6TH AVE
TACOMA, WA 98406-4903
Phone number: 253-686-1721
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Mailing Address
MEGHAN MICHELLE ELLIS LMP, CPMT
4611 N FRACE AVE
TACOMA, WA 98407-1213
Phone number: 253-686-1721
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