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1003277104
SVETLANA ANENKO
VANCOUVER, WA
NPI
1003277104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: WA TIN # 93-0798039)
Enumeration Date
2016-03-16
Last Update Date
2016-03-16
Business Address
-- SVETLANA ANENKO
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6053
Phone number: 360-896-4484
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Mailing Address
-- SVETLANA ANENKO
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6053
Phone number: 360-896-4484
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