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Individual

YAVONNIE LESLIE GRIGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3285 FERGUSON LN SW, TUMWATER, WA 98512, TUMWATER, WA 98512
(360) 943-1907
Mailing address
273 OYLER RD, ETHEL, WA 98542-9708
(903) 486-1011

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
10/13/2020
Last updated
10/13/2020
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