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1487329520
TIDA PAUL
BELLEVUE, WA
NPI
1487329520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA 61127569)
Enumeration Date
2021-08-11
Last Update Date
2022-09-06
Business Address
TIDA PAUL
1035 116TH AVE NE
BELLEVUE, WA 98004-4604
Phone number: 425-688-5787
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Mailing Address
TIDA PAUL
1035 116TH AVE NE
BELLEVUE, WA 98004-4604
Phone number: 425-688-5787
Copy
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