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Individual
GRACE T UM
Active
Individual
GRACE T UM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD61295418
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2045867
—
WA
Enumeration date
03/27/2015
Last updated
07/02/2026
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