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1093301392
MARIAH LANE
YAKIMA, WA
NPI
1093301392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA OL61429631)
Enumeration Date
2020-12-21
Last Update Date
2024-06-12
Business Address
MARIAH LANE DO
1806 W LINCOLN AVE
YAKIMA, WA 98902-2473
Phone number: 509-452-4520
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Mailing Address
MARIAH LANE DO
501 S 5TH AVE
YAKIMA, WA 98902-3550
Phone number: 509-853-1082
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