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1477115301
DALE ANDERSON
TACOMA, WA
NPI
1477115301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP00041229)
Enumeration Date
2019-07-01
Last Update Date
2019-07-01
Business Address
DALE ANDERSON
3727 S TACOMA WAY
TACOMA, WA 98409-3134
Phone number: 253-300-7474
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Mailing Address
DALE ANDERSON
15 OREGON AVE STE 308
TACOMA, WA 98409-7462
Phone number: 253-304-7753
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