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1114261864
RENAE DINA GREEN
PUYALLUP, WA
NPI
1114261864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: WA LL60184900)
Enumeration Date
2012-11-19
Last Update Date
2012-11-19
Business Address
MRS. RENAE DINA GREEN CCC-SLP
8722 119TH STREET CT E
PUYALLUP, WA 98373-7974
Phone number: 253-445-2513
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Mailing Address
MRS. RENAE DINA GREEN CCC-SLP
8722 119TH STREET CT E
PUYALLUP, WA 98373-7974
Phone number: 253-445-2513
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