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1578607412
PHYLLIS C JOHNSEN
TACOMA, WA
NPI
1578607412
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA PA10001989)
Enumeration Date
2007-02-16
Last Update Date
2009-04-01
Business Address
-- PHYLLIS C JOHNSEN P.A.
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4265
Phone number: 253-596-3300
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Mailing Address
-- PHYLLIS C JOHNSEN P.A.
PO BOX 34581
SEATTLE, WA 98124-1581
Phone number: 509-241-7349
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