Provider Information for 1184038754
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KATIE L EVANS
Sex: Female
NPI: 1184038754
Last Updated: 2014-06-11
Certification Date:
Certification Date:
Details
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| NPI | 1184038754 | ||||||||
| Enumeration Date | 2014-06-11 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 9600 VETERANS DR TACOMA, WA 98493-0001 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 9600 VETERANS DR TACOMA, WA 98493-0001 United States Phone: 253-583-2825 | Fax: | ||||||||
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