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Individual

TAMARA EDITH JOAN BALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
PO BOX 458, ONALASKA, WA 98570-0458
(360) 219-6262
Mailing address
1601 NW LOUISIANA AVE, CHEHALIS, WA 98532-1700
(360) 748-6112
(360) 748-3911

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO60023850
WA

Other

Enumeration date
04/03/2025
Last updated
04/03/2025
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