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Individual

JEFFERY LYN PATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-3956
Mailing address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
(253) 968-3956

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
227851
TX
164W00000X
Licensed Practical Nurse
Primary
LP60181016
WA

Other

Enumeration date
09/14/2017
Last updated
09/14/2017
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