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1083152268
TIMOTHY HERLICKSON
SEDRO WOOLLEY, WA
NPI
1083152268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WA RN00150280)
Enumeration Date
2017-02-07
Last Update Date
2017-02-07
Business Address
-- TIMOTHY HERLICKSON
925 MARIE PL
SEDRO WOOLLEY, WA 98284-9322
Phone number: 360-333-0119
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Mailing Address
-- TIMOTHY HERLICKSON
925 MARIE PL
SEDRO WOOLLEY, WA 98284-9322
Phone number:
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