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Individual

TAMARA N WANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1205 PLEASANT AVE, YAKIMA, WA 98902-5408
(509) 494-3650
Mailing address
1205 PLEASANT AVE, YAKIMA, WA 98902-5408
(509) 494-3650

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
WA

Other

Enumeration date
02/06/2012
Last updated
07/28/2014
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