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1396941878
BETHANY ANN FENTON
TACOMA, WA
NPI
1396941878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: WA 174400000x)
Enumeration Date
2007-06-22
Last Update Date
2007-07-08
Business Address
-- BETHANY ANN FENTON lmp
824 S 28TH ST STE B
TACOMA, WA 98409-1105
Phone number: 253-590-9685
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Mailing Address
-- BETHANY ANN FENTON lmp
2802 N NARROWS DR UNIT B2
TACOMA, WA 98407-1450
Phone number: 253-590-9685
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