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1497151419
KAELYN HEATH
TACOMA, WA
NPI
1497151419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: WA OC60197406)
Enumeration Date
2014-11-18
Last Update Date
2014-11-18
Business Address
-- KAELYN HEATH COTA/L
6502 19TH ST NE
TACOMA, WA 98422-3701
Phone number: 253-315-9111
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Mailing Address
-- KAELYN HEATH COTA/L
6502 19TH ST NE
TACOMA, WA 98422-3701
Phone number: 253-315-9111
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