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1205325966
GLORIA JUDITH PENATE
TACOMA, WA
NPI
1205325966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: FL 22724)
Enumeration Date
2018-05-08
Last Update Date
2018-05-08
Business Address
GLORIA JUDITH PENATE
2103 NORTH DIVISION STREET
TACOMA, WA 98433
Phone number: 253-967-3416
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Mailing Address
GLORIA JUDITH PENATE
MADIGAN ANNEX 9900
TACOMA, WA 98431-0001
Phone number: 253-968-4944
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