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1265217533
NATHAN DANIEL LUNGSTROM
PUYALLUP, WA
NPI
1265217533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-08-25
Last Update Date
2023-08-25
Business Address
NATHAN DANIEL LUNGSTROM
509 VALLEY AVE NE UNIT 10
PUYALLUP, WA 98372-6965
Phone number: 509-995-2084
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Mailing Address
NATHAN DANIEL LUNGSTROM
509 VALLEY AVE NE UNIT 10
PUYALLUP, WA 98372-6965
Phone number: 509-995-2084
Copy
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