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1255165742
KASEY PANHUISE SULLIVAN
TACOMA, WA
NPI
1255165742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA AP61598856)
Enumeration Date
2024-08-28
Last Update Date
2024-08-28
Business Address
KASEY PANHUISE SULLIVAN ARNP
950 PACIFIC AVE STE 1025
TACOMA, WA 98402-4469
Phone number: 253-533-7264
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Mailing Address
KASEY PANHUISE SULLIVAN ARNP
950 PACIFIC AVE STE 1025
TACOMA, WA 98402-4469
Phone number: 253-533-7264
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