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1790088052
LENORA MARIE IVANEK
TACOMA, WA
NPI
1790088052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60191143)
Enumeration Date
2010-12-08
Last Update Date
2013-02-26
Business Address
-- LENORA MARIE IVANEK PA-C
1717 S J ST
TACOMA, WA 98405-4933
Phone number: 253-426-6341
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Mailing Address
-- LENORA MARIE IVANEK PA-C
1717 S J ST
TACOMA, WA 98405-4933
Phone number: 253-426-6341
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