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1700584711
LISA NICOLE CRUZ
TACOMA, WA
NPI
1700584711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: NE 36567)
Enumeration Date
2023-02-20
Last Update Date
2024-09-10
Business Address
LISA NICOLE CRUZ MD
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-0770
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Mailing Address
LISA NICOLE CRUZ MD
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-0770
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