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1265718092
THEODORA RAE PETERSON
TACOMA, WA
NPI
1265718092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WA RN00074552)
Enumeration Date
2011-10-25
Last Update Date
2011-10-25
Business Address
Ms. THEODORA RAE PETERSON
2209 E 32ND ST
TACOMA, WA 98404-4922
Phone number: 253-593-0232
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Mailing Address
Ms. THEODORA RAE PETERSON
2209 E 32ND ST
TACOMA, WA 98404-4922
Phone number: 253-593-0232
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