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1598253338
SARAH LEE DEVERA BOLANOS
TACOMA, WA
NPI
1598253338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95027622)
Enumeration Date
2018-04-26
Last Update Date
2024-03-29
Business Address
SARAH LEE DEVERA BOLANOS Registered Nurse
9040 JACKSON AVE ATTN: MCHJ-CLQ-C
TACOMA, WA 98431-0001
Phone number: 253-968-1110
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Mailing Address
SARAH LEE DEVERA BOLANOS Registered Nurse
11612 185TH STREET CT E
PUYALLUP, WA 98374-6464
Phone number: 951-902-5351
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