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1750401204
TERRIE M FORD
TACOMA, WA
NPI
1750401204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: WA AP 60663882)
Enumeration Date
2007-03-29
Last Update Date
2019-10-11
Business Address
TERRIE M FORD MS ARNP
20 N TACOMA AVE
TACOMA, WA 98403-3133
Phone number: 614-301-4399
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Mailing Address
TERRIE M FORD MS ARNP
117 N TACOMA AVE APT 805
TACOMA, WA 98403-2622
Phone number: 614-301-4399
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