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1487135844
GERALD CARL WIEDER
FEDERAL WAY, WA
NPI
1487135844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WA RN00132339)
Enumeration Date
2018-08-23
Last Update Date
2018-08-23
Business Address
GERALD CARL WIEDER
4130 SW 325TH ST
FEDERAL WAY, WA 98023-2427
Phone number: 206-234-8384
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Mailing Address
GERALD CARL WIEDER
4130 SW 325TH ST
FEDERAL WAY, WA 98023-2427
Phone number: 206-234-8384
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