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1568246429
KRYSTIE L ROTH
OLYMPIA, WA
NPI
1568246429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP61354227)
Enumeration Date
2023-08-22
Last Update Date
2023-08-22
Business Address
KRYSTIE L ROTH LPN
1240 SMITH ST SE
OLYMPIA, WA 98501-2731
Phone number: 253-906-0381
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Mailing Address
KRYSTIE L ROTH LPN
1240 SMITH ST SE
OLYMPIA, WA 98501-2731
Phone number: 253-906-0381
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