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1609500792
CHUNLIU GONG
TACOMA, WA
NPI
1609500792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: WA AP61327907)
Enumeration Date
2022-07-13
Last Update Date
2022-07-13
Business Address
CHUNLIU GONG
317 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4234
Phone number: 253-403-1400
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Mailing Address
CHUNLIU GONG
2257 22ND PL SE
ALBANY, OR 97322-5470
Phone number:
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