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1538723507
TYSHAYNA BOGGS
RENTON, WA
NPI
1538723507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WA AP60951707)
Enumeration Date
2019-04-25
Last Update Date
2021-10-05
Business Address
TYSHAYNA BOGGS NP
707 S GRADY WAY STE 600
RENTON, WA 98057-3227
Phone number: 206-823-1004
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Mailing Address
TYSHAYNA BOGGS NP
18224 6TH AVENUE CT E
SPANAWAY, WA 98387-8451
Phone number: 425-220-0256
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