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1215538194
AUTUMN RUNYAN
TACOMA, WA
NPI
1215538194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: WA 61107086)
Enumeration Date
2020-11-05
Last Update Date
2020-11-05
Business Address
Mrs. AUTUMN RUNYAN
721 FAWCETT AVE
TACOMA, WA 98402-5502
Phone number: 253-383-3921
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Mailing Address
Mrs. AUTUMN RUNYAN
721 FAWCETT AVE
TACOMA, WA 98402-5502
Phone number:
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