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1023110087
MARY AGNES GUBALA
VANCOUVER, WA
NPI
1023110087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WA DH00002032)
Enumeration Date
2006-09-01
Last Update Date
2012-09-26
Business Address
Ms. MARY AGNES GUBALA RDH
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6053
Phone number: 360-896-4484
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Mailing Address
Ms. MARY AGNES GUBALA RDH
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6053
Phone number: 360-896-4484
Copy
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