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1558966515
STEPHANIE IDA KENNISON
TACOMA, WA
NPI
1558966515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: WA RN61024617)
Enumeration Date
2020-11-30
Last Update Date
2020-11-30
Business Address
STEPHANIE IDA KENNISON RN
1201 S PROCTOR ST
TACOMA, WA 98405-2047
Phone number: 253-396-5800
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Mailing Address
STEPHANIE IDA KENNISON RN
1201 S PROCTOR ST
TACOMA, WA 98405-2047
Phone number: 253-396-5800
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