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1679611792
TERESA A. FORDYCE
TACOMA, WA
NPI
1679611792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10002505)
Enumeration Date
2007-02-01
Last Update Date
2016-01-15
Business Address
Mrs. TERESA A. FORDYCE PA-C
1901 S CEDAR ST SUITE 201
TACOMA, WA 98405-2308
Phone number: 253-572-3520
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Mailing Address
Mrs. TERESA A. FORDYCE PA-C
1901 S CEDAR ST SUITE 201
TACOMA, WA 98405-2308
Phone number: 253-572-3520
Copy
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