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1316043961
ROBERTA THERESA NUGENT
TACOMA, WA
NPI
1316043961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
273R00000X Psychiatric Unit
(Licence: WA OTOOOOO794)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
Ms. ROBERTA THERESA NUGENT OT
AMERICAN LAKE VA HOSPITAL
TACOMA, WA 98493-0001
Phone number: 253-582-8440
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Mailing Address
Ms. ROBERTA THERESA NUGENT OT
7340 38TH WAY NE
OLYMPIA, WA 98516-2739
Phone number: 253-582-8440
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