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1356004816
TIERRA RUFFIN
EVERETT, WA
NPI
1356004816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA CO61212506)
Enumeration Date
2021-10-20
Last Update Date
2021-10-20
Business Address
TIERRA RUFFIN SUDPT
9930 EVERGREEN WAY STE Z150
EVERETT, WA 98204-3889
Phone number: 425-347-5121
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Mailing Address
TIERRA RUFFIN SUDPT
15723 40TH AVE W APT E201
LYNNWOOD, WA 98087-1463
Phone number: 850-207-0980
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