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STEPHANIE EMIKO MANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
6659 KIMBALL DR STE D403, GIG HARBOR, WA 98335-5141
(253) 851-3874
Mailing address
6659 KIMBALL DR STE D403, GIG HARBOR, WA 98335-5141
(253) 851-3874

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT00003765
WA

Other

Enumeration date
12/18/2009
Last updated
12/18/2009
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