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1306615992
ALPHONCE MORANGO BONIPHACE
TACOMA, WA
NPI
1306615992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WR0006X Registered Nurse, Registered Nurse First Assistant
(Licence: WA NC61503287)
Enumeration Date
2023-12-26
Last Update Date
2023-12-26
Business Address
ALPHONCE MORANGO BONIPHACE
5031 S ORCHARD ST APT B
TACOMA, WA 98467-3667
Phone number: 240-615-3791
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Mailing Address
ALPHONCE MORANGO BONIPHACE
5031 S ORCHARD ST APT B
TACOMA, WA 98467-3667
Phone number: 240-615-3791
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