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1285266486
JULY PAN
PUYALLUP, WA
NPI
1285266486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA 60991496)
Enumeration Date
2020-02-06
Last Update Date
2020-02-06
Business Address
JULY PAN
2913 5TH AVE NE STE 101
PUYALLUP, WA 98372-6748
Phone number: 855-255-1750
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Mailing Address
JULY PAN
24025 79TH PL W
EDMONDS, WA 98026-9114
Phone number: 206-234-1477
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