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Individual
RAFFY JATAMOSA
Active
Individual
RAFFY JATAMOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60177758
WA
363L00000X
Nurse Practitioner
Primary
1013542885
WA
Other
Enumeration date
03/11/2020
Last updated
08/08/2026
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