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1609110410
CHASTITY F DEROO
TACOMA, WA
NPI
1609110410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
207Q00000X Family Medicine
(Licence: GA 1108101)
Enumeration Date
2012-11-16
Last Update Date
2021-03-09
Business Address
CHASTITY F DEROO PA-C
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-477-3774
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Mailing Address
CHASTITY F DEROO PA-C
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-0554
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