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1285202705
KANEETAH VELMA PRIDGEN
SPANAWAY, WA
NPI
1285202705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246RP1900X Technician, Pathology, Phlebotomy
(Licence: WA PC60845589)
Enumeration Date
2021-06-11
Last Update Date
2021-06-11
Business Address
KANEETAH VELMA PRIDGEN MA-P
17827 18TH AVENUE CT E
SPANAWAY, WA 98387-4119
Phone number: 253-273-0571
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Mailing Address
KANEETAH VELMA PRIDGEN MA-P
17827 18TH AVENUE CT E
SPANAWAY, WA 98387-4119
Phone number: 253-273-0571
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