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1083797146
JENNIFER M PROUSE
VANCOUVER, WA
NPI
1083797146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI00001264)
Enumeration Date
2006-10-23
Last Update Date
2007-07-08
Business Address
-- JENNIFER M PROUSE RD
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664-3200
Phone number: 360-514-2559
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Mailing Address
-- JENNIFER M PROUSE RD
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664-3200
Phone number:
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