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1083377204
CARLIE LEANN DURGELOH
CHENEY, WA
NPI
1083377204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2021-10-14
Last Update Date
2021-10-14
Business Address
CARLIE LEANN DURGELOH
526 5TH ST
CHENEY, WA 99004-1619
Phone number: 509-720-3062
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Mailing Address
CARLIE LEANN DURGELOH
526 5TH ST
CHENEY, WA 99004-1619
Phone number: 509-720-3062
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