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1104164771
MICHELLE L HAVERKAMP
VANCOUVER, WA
NPI
1104164771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WA OT00002133)
Enumeration Date
2013-01-16
Last Update Date
2013-03-19
Business Address
-- MICHELLE L HAVERKAMP
13501 NE 28TH ST
VANCOUVER, WA 98682-8091
Phone number: 360-609-6700
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Mailing Address
-- MICHELLE L HAVERKAMP
15501 NE PERRAULT DR
VANCOUVER, WA 98684-8652
Phone number: 360-896-6435
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