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1942022116
TIMOTHY LEVI TEISTA
TACOMA, WA
NPI
1942022116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: WA RN.RN.61606881)
Enumeration Date
2024-10-29
Last Update Date
2024-10-29
Business Address
TIMOTHY LEVI TEISTA RN
1201 S PROCTOR ST
TACOMA, WA 98405-2047
Phone number: 253-396-5937
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Mailing Address
TIMOTHY LEVI TEISTA RN
1221 S PEARL ST
TACOMA, WA 98465-2215
Phone number: 253-326-6240
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