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1902990948
SHERROD SHIVELEY
TACOMA, WA
NPI
1902990948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA MD00042247)
Enumeration Date
2006-10-03
Last Update Date
2010-11-16
Business Address
-- SHERROD SHIVELEY MD
1717 S J ST
TACOMA, WA 98405-4933
Phone number: 253-426-6341
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Mailing Address
-- SHERROD SHIVELEY MD
1717 S J ST
TACOMA, WA 98405-4933
Phone number: 253-426-6341
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