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1871024281
THERESA TACCONELLI
BREMERTON, WA
NPI
1871024281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2017-03-27
Last Update Date
2017-03-27
Business Address
Mrs. THERESA TACCONELLI
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-415-5807
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Mailing Address
Mrs. THERESA TACCONELLI
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number:
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