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Organization

PURE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLETTE M CARTER LMP (MEMBER/OWNER)
(253) 223-3138
Entity
Organization

Contact information

Practice address
1506 PACIFIC AVE, TACOMA, WA 98402-4202
(253) 223-3138
Mailing address
801 N I ST APT 304, TACOMA, WA 98403-2063
(253) 223-3138

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00013188
WA

Other

Enumeration date
10/19/2012
Last updated
10/19/2012
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