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Individual

MRS. JAMIE MARIE BARNUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
5315 IDAHO AVE APT B, TACOMA, WA 98433-1626
(360) 708-1970
Mailing address
5315 IDAHO AVE APT B, TACOMA, WA 98433-1626
(360) 708-1970

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60000962
WA

Other

Enumeration date
03/11/2008
Last updated
03/11/2008
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