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Individual
DR. TANJA GOEDECKE
Active
Individual
DR. TANJA GOEDECKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD PHD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60726412
WA
183500000X
Pharmacist
RP00008265
NM
Other
Enumeration date
03/13/2015
Last updated
11/21/2018
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