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1386476026
GABE RAPHAEL WORTMAN
TACOMA, WA
NPI
1386476026
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP61598757)
Enumeration Date
2024-08-19
Last Update Date
2024-08-19
Business Address
Mr. GABE RAPHAEL WORTMAN ARNP
1112 S CUSHMAN AVE
TACOMA, WA 98405-3631
Phone number: 253-593-2144
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Mailing Address
Mr. GABE RAPHAEL WORTMAN ARNP
3830 S 11TH ST
TACOMA, WA 98405-2130
Phone number: 760-908-9681
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