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1356017925
TATE WALLAR
TACOMA, WA
NPI
1356017925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-08-23
Last Update Date
2022-03-28
Business Address
TATE WALLAR
9040 JACKSON AVE
TACOMA, WA 98431-1886
Phone number: 253-968-2462
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Mailing Address
TATE WALLAR
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-2462
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