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1427615905
LATISHA ANNETTE BLACK
TACOMA, WA
NPI
1427615905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA C060492588)
Enumeration Date
2019-05-21
Last Update Date
2019-05-21
Business Address
LATISHA ANNETTE BLACK CDPT, BAS
1111 FAWCETT AVE STE 200
TACOMA, WA 98402-2029
Phone number: 253-274-0484
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Mailing Address
LATISHA ANNETTE BLACK CDPT, BAS
1111 FAWCETT AVE STE 200
TACOMA, WA 98402-2029
Phone number: 253-274-0484
Copy
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