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1528415932
LILY KOSTUCH
TACOMA, WA
NPI
1528415932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WA 60562751)
Enumeration Date
2016-05-16
Last Update Date
2016-05-16
Business Address
-- LILY KOSTUCH RN
9040 JACKSON AVE
TACOMA, WA 98431-1100
Phone number: 253-968-1535
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Mailing Address
-- LILY KOSTUCH RN
9040 JACKSON AVE
TACOMA, WA 98431-1100
Phone number:
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