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1689396533
MICHELLE MASK
FEDERAL WAY, WA
NPI
1689396533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP60764869)
Enumeration Date
2022-09-16
Last Update Date
2022-09-16
Business Address
MICHELLE MASK
33330 8TH AVE S
FEDERAL WAY, WA 98003-6325
Phone number: 253-945-2000
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Mailing Address
MICHELLE MASK
PO BOX 27414
FEDERAL WAY, WA 98093-4414
Phone number: 253-331-3446
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