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1255890638
AUDRIANA MOOTH
PUYALLUP, WA
NPI
1255890638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-15
Last Update Date
2021-06-25
Business Address
AUDRIANA MOOTH DO
1322 3RD ST SE SUITE 240
PUYALLUP, WA 98372
Phone number: 253-697-1420
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Mailing Address
AUDRIANA MOOTH DO
1322 3RD ST SE SUITE 240
PUYALLUP, WA 98372
Phone number:
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