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Individual

KELLY MCINTIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3701 PACIFIC AVE STE 200, TACOMA, WA 98418-7838
(253) 255-8385
Mailing address
3629 S D ST, TACOMA, WA 98418-6813
(253) 798-4745

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN00104973
WA

Other

Enumeration date
08/21/2017
Last updated
08/21/2017
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