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1912540469
LANE ELISE FRASER
TACOMA, WA
NPI
1912540469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: NE 2499)
Enumeration Date
2019-10-28
Last Update Date
2023-08-04
Business Address
LANE ELISE FRASER DO
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-3774
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Mailing Address
LANE ELISE FRASER DO
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-3774
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