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1659880979
STEPHANIE JEAN LEWIS
TACOMA, WA
NPI
1659880979
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Former Name
STEPHANIE JEAN BARTH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NC 242399)
Enumeration Date
2017-09-29
Last Update Date
2017-09-29
Business Address
STEPHANIE JEAN LEWIS RN
9040 JACKSON AVE ATTN: MCHJ-CLQ-C
TACOMA, WA 98431-0001
Phone number: 253-968-1110
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Mailing Address
STEPHANIE JEAN LEWIS RN
15139 105TH AVE SE
YELM, WA 98597-8421
Phone number: 910-644-8212
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