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1083044788
KAITLIN JACKMAN
ELLENSBURG, WA
NPI
1083044788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WA DH60303163)
Enumeration Date
2013-11-15
Last Update Date
2013-11-15
Business Address
-- KAITLIN JACKMAN DH
1206 N DOLARWAY RD SUITE 101
ELLENSBURG, WA 98926-8392
Phone number: 509-933-2400
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Mailing Address
-- KAITLIN JACKMAN DH
1806 W LINCOLN AVE
YAKIMA, WA 98902-2473
Phone number: 509-494-6700
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