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1053884338
JUAN EDWARD BERLANGA
TACOMA, WA
NPI
1053884338
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122400000X Denturist
(Licence: WA DN60041183)
Enumeration Date
2019-01-09
Last Update Date
2019-01-10
Business Address
Mr. JUAN EDWARD BERLANGA LD
654 N ROCHESTER ST
TACOMA, WA 98406-1724
Phone number: 253-777-8339
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Mailing Address
Mr. JUAN EDWARD BERLANGA LD
654 N ROCHESTER ST
TACOMA, WA 98406-1724
Phone number: 253-777-8339
Copy
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