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1629097365
MICHELE RENEE KENNEDY
TACOMA, WA
NPI
1629097365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
-- MICHELE RENEE KENNEDY PA
MADIGAN ARMY MEDICAL CTR 9040 REID ST ATTN: MCHJ-QCR
TACOMA, WA 98431-1100
Phone number: 253-968-2252
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Mailing Address
-- MICHELE RENEE KENNEDY PA
11515 212TH ST E
GRAHAM, WA 98338-6484
Phone number: 210-213-1576
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