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1255788295
JENNIFER GOMEZ
TACOMA, WA
NPI
1255788295
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Former Name
JENNIFER MOORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WA PA60803139)
Enumeration Date
2016-05-19
Last Update Date
2023-08-03
Business Address
JENNIFER GOMEZ PA-C
419 S L ST
TACOMA, WA 98405-3799
Phone number: 253-403-7257
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Mailing Address
JENNIFER GOMEZ PA-C
PO BOX 5299 MS: 820-5-PCO
TACOMA, WA 98415-0299
Phone number: 253-459-8009
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