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Individual

CONNOR JUDE WESLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1202 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-3926
(253) 441-4742
Mailing address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 441-4742

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP70009872
WA

Other

Enumeration date
11/14/2022
Last updated
06/10/2025
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