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Individual

STEPHANIE ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
621 LINWOOD AVE SW, TUMWATER, WA 98512-6847
(360) 709-7618
Mailing address
1217 PALOMINO DR SE, TUMWATER, WA 98501-8631

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN00138238
WA

Other

Enumeration date
12/04/2018
Last updated
12/04/2018
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