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1629555990
LEO THOMAS CASTONGUAY
TACOMA, WA
NPI
1629555990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP00055981)
Enumeration Date
2018-07-19
Last Update Date
2018-07-19
Business Address
LEO THOMAS CASTONGUAY LPN
3629 S D ST
TACOMA, WA 98418-6813
Phone number: 253-798-6576
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Mailing Address
LEO THOMAS CASTONGUAY LPN
3629 S D ST
TACOMA, WA 98418-6813
Phone number:
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