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1780902619
MICHAEL WESLEY FISH
PUYALLUP, WA
NPI
1780902619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 226437)
Enumeration Date
2010-05-17
Last Update Date
2010-05-17
Business Address
-- MICHAEL WESLEY FISH LPN
8408 133RD ST E
PUYALLUP, WA 98373-2596
Phone number: 253-335-9438
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Mailing Address
-- MICHAEL WESLEY FISH LPN
8408 133RD ST E
PUYALLUP, WA 98373-2596
Phone number:
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