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1922502665
AUDRA STALLARD
TACOMA, WA
NPI
1922502665
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA MD61102565)
Enumeration Date
2018-03-19
Last Update Date
2021-07-16
Business Address
AUDRA STALLARD
521 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4238
Phone number: 253-403-2938
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Mailing Address
AUDRA STALLARD
521 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4238
Phone number: 253-403-2938
Copy
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