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1902421506
RUSTY SHANE LISTER
TACOMA, WA
NPI
1902421506
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2020-06-10
Last Update Date
2020-06-10
Business Address
-- RUSTY SHANE LISTER
1305 TACOMA AVE S STE 305
TACOMA, WA 98402-1903
Phone number: 479-352-0128
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Mailing Address
-- RUSTY SHANE LISTER
1305 TACOMA AVE S STE 305
TACOMA, WA 98402-1903
Phone number: 253-396-5827
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