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1346902509
THAI LY
TACOMA, WA
NPI
1346902509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WA AP61225098)
Enumeration Date
2021-10-06
Last Update Date
2023-08-04
Business Address
THAI LY ARNP
2302 S UNION AVE STE 30
TACOMA, WA 98405-1361
Phone number: 253-365-8074
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Mailing Address
THAI LY ARNP
2302 S UNION AVE STE 30
TACOMA, WA 98405-1361
Phone number: 253-365-8074
Copy
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