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1730431958
RENEE E LIGHTCAP
TACOMA, WA
NPI
1730431958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CO 12025648)
Enumeration Date
2012-10-11
Last Update Date
2019-11-01
Business Address
RENEE E LIGHTCAP SLP
9040 JACKSON AVE
TACOMA, WA 98431-1750
Phone number: 253-968-0927
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Mailing Address
RENEE E LIGHTCAP SLP
MADIGAN ARMY MEDICAL CENTER ATTN: CREDENTIALS OFFICE 9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number:
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