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1326457813
TAMARA MICKELSON
GIG HARBOR, WA
NPI
1326457813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60490222)
Enumeration Date
2014-08-08
Last Update Date
2020-12-18
Business Address
TAMARA MICKELSON PA-C
11511 CANTERWOOD BLVD STE 105
GIG HARBOR, WA 98332-5813
Phone number: 253-985-2949
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Mailing Address
TAMARA MICKELSON PA-C
11511 CANTERWOOD BLVD STE 105
GIG HARBOR, WA 98332-5813
Phone number: 253-985-2949
Copy
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