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1326642901
AUGUSTA MANTEY
PUYALLUP, WA
NPI
1326642901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO F11200819)
Enumeration Date
2020-11-24
Last Update Date
2021-03-14
Business Address
Mrs. AUGUSTA MANTEY NP
16515 MERIDIAN E
PUYALLUP, WA 98375-6251
Phone number: 253-219-8161
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Mailing Address
Mrs. AUGUSTA MANTEY NP
16515 MERIDIAN E
PUYALLUP, WA 98375-6251
Phone number: 253-219-8161
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