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1578012191
STACEY SMITH
TACOMA, WA
NPI
1578012191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WA rn60617241)
Enumeration Date
2016-09-23
Last Update Date
2016-09-23
Business Address
-- STACEY SMITH RN
9040 JACKSON AVE GI CLINIC
TACOMA, WA 98431
Phone number: 253-968-0662
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Mailing Address
-- STACEY SMITH RN
PO BOX 2801
YELM, WA 98597
Phone number: 253-224-5573
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