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1366863896
MELODY WANDA MINOTT
TACOMA, WA
NPI
1366863896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP00046678)
Enumeration Date
2013-12-31
Last Update Date
2013-12-31
Business Address
-- MELODY WANDA MINOTT LPN
16317 25TH AVENUE CT E
TACOMA, WA 98445-4510
Phone number: 253-298-2796
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Mailing Address
-- MELODY WANDA MINOTT LPN
16317 25TH AVENUE CT E
TACOMA, WA 98445-4510
Phone number: 253-298-2796
Copy
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