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Individual

MRS. KIM RUBY RASMUSSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
3625 E B ST, TACOMA, WA 98404-1524
(253) 670-8336
Mailing address
23603 130TH AVE SE, KENT, WA 98031-3653
(253) 631-6693

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
WA

Other

Enumeration date
12/14/2008
Last updated
12/14/2008
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