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1316192057
TANNA A SCRIVEN
TACOMA, WA
NPI
1316192057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: WA MA00012052)
Enumeration Date
2008-11-21
Last Update Date
2008-11-21
Business Address
-- TANNA A SCRIVEN LMP
4822 S M ST
TACOMA, WA 98408-3505
Phone number: 253-202-6626
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Mailing Address
-- TANNA A SCRIVEN LMP
4822 S M ST
TACOMA, WA 98408-3505
Phone number: 253-202-6626
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