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1013422757
IDALIS RAE CALVERT
PORT ANGELES, WA
NPI
1013422757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine
(Licence: WA CG60769343)
Enumeration Date
2017-12-04
Last Update Date
2017-12-04
Business Address
IDALIS RAE CALVERT
243511 W HIGHWAY 101
PORT ANGELES, WA 98363-9472
Phone number: 360-565-7264
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Mailing Address
IDALIS RAE CALVERT
243511 W HIGHWAY 101
PORT ANGELES, WA 98363-9472
Phone number: 360-565-7264
Copy
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