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1306565957
JESSICA LEE FOSTER
PUYALLUP, WA
NPI
1306565957
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Former Name
JESSICA LEE SOUTHERN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP61327030)
Enumeration Date
2022-08-25
Last Update Date
2022-11-15
Business Address
JESSICA LEE FOSTER
400 29TH ST NE
PUYALLUP, WA 98372-6774
Phone number: 253-840-4400
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Mailing Address
JESSICA LEE FOSTER
PO BOX 73488
PUYALLUP, WA 98373-0488
Phone number: 855-722-9700
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