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1407208440
OWEN STAILEY
TACOMA, WA
NPI
1407208440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: UT 5665237-4406)
Enumeration Date
2016-07-01
Last Update Date
2016-07-05
Business Address
-- OWEN STAILEY CRNA
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-0959
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Mailing Address
-- OWEN STAILEY CRNA
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number:
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