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1780182584
ROBERTA LYNN JOHNSON
TACOMA, WA
NPI
1780182584
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Other Name
BOBBIE STACEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LPN00047974)
Enumeration Date
2018-01-26
Last Update Date
2018-03-17
Business Address
Ms. ROBERTA LYNN JOHNSON LPN
INTREPID SPIRIT CENTER 90390 GARDNER LOOP
TACOMA, WA 98431-0001
Phone number: 253-968-9017
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Mailing Address
Ms. ROBERTA LYNN JOHNSON LPN
8634 QUINAULT DR NE
OLYMPIA, WA 98516-5826
Phone number: 360-789-5261
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