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1982105318
SAMANTHA MAMMEN CARSON
TACOMA, WA
NPI
1982105318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: WI 72030-20)
Enumeration Date
2018-02-21
Last Update Date
2023-08-04
Business Address
SAMANTHA MAMMEN CARSON
9040 JACKSON AVE
TACOMA, WA 98431-5001
Phone number: 253-968-2252
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Mailing Address
SAMANTHA MAMMEN CARSON
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number:
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