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1669225363
SHELBY JAYE KOCH
TACOMA, WA
NPI
1669225363
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA ML61550008)
Enumeration Date
2024-04-10
Last Update Date
2024-04-10
Business Address
SHELBY JAYE KOCH
2209 E 32ND ST
TACOMA, WA 98404-4922
Phone number: 253-593-0232
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Mailing Address
SHELBY JAYE KOCH
215 H ST NE
EPHRATA, WA 98823-1731
Phone number: 509-398-6979
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