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1891550398
ELENA GRACE WHITE
TACOMA, WA
NPI
1891550398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2024-02-14
Last Update Date
2024-02-27
Business Address
ELENA GRACE WHITE
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-0117
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Mailing Address
ELENA GRACE WHITE
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-0117
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