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1083726038
MACY M BIENERTH
VANCOUVER, WA
NPI
1083726038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: OR a10295)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Mrs. MACY M BIENERTH efda
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684-6053
Phone number: 360-896-4484
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Mailing Address
Mrs. MACY M BIENERTH efda
24700 NW 24TH AVE
RIDGEFIELD, WA 98642-9415
Phone number: 360-887-0062
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