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Individual

CHUNLIU GONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
317 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1400
Mailing address
2257 22ND PL SE, ALBANY, OR 97322-5470

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP61327907
WA

Other

Enumeration date
07/13/2022
Last updated
07/13/2022
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