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1689749624
TEI HABENICHT
SILVERDALE, WA
NPI
1689749624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WA PA10004580)
Enumeration Date
2006-11-22
Last Update Date
2012-04-04
Business Address
Ms. TEI HABENICHT PA-C
4409 NW ANDERSON HILL RD
SILVERDALE, WA 98383-6807
Phone number: 360-698-6630
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Mailing Address
Ms. TEI HABENICHT PA-C
4409 NW ANDERSON HILL RD
SILVERDALE, WA 98383-6807
Phone number: 360-698-6630
Copy
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