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1790871572
GORDON JOHN RETTERATH
TACOMA, WA
NPI
1790871572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW00007863)
Enumeration Date
2006-10-05
Last Update Date
2019-02-21
Business Address
GORDON JOHN RETTERATH
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-966-3650
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Mailing Address
GORDON JOHN RETTERATH
7719 RAINIER RD SE
OLYMPIA, WA 98513-5419
Phone number: 360-923-1787
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