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1932488004
MARTHA MOEONONO LAUMOLI
TACOMA, WA
NPI
1932488004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
323P00000X Psychiatric Residential Treatment Facility
(Licence: WA CG60215106)
Enumeration Date
2011-08-08
Last Update Date
2011-08-08
Business Address
Ms. MARTHA MOEONONO LAUMOLI BA
1201 S PROCTOR ST
TACOMA, WA 98405-2047
Phone number: 253-396-5937
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Mailing Address
Ms. MARTHA MOEONONO LAUMOLI BA
1201 S PROCTOR ST
TACOMA, WA 98405-2047
Phone number: 253-396-5937
Copy
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