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1073712170
TINA MARIE HOUSE
VANCOUVER, WA
NPI
1073712170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: WA MA00023564)
Enumeration Date
2007-07-17
Last Update Date
2007-07-17
Business Address
MS. TINA MARIE HOUSE L.M.P
109 SE 101ST AVE
VANCOUVER, WA 98664-3907
Phone number: 360-256-6748
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Mailing Address
MS. TINA MARIE HOUSE L.M.P
PO BOX 544
FOREST GROVE, OR 97116-0544
Phone number: 360-773-3347
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