NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1376543884
ELLIS
STACI
GAYE
 
3209 S 23RD ST
TACOMA
WA
984051602
1982627436
SALA
JEFFREY
LEE
 
3209 S 23RD ST
TACOMA
WA
984051602
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